Provider Demographics
NPI:1659314417
Name:COSMOS HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:COSMOS HEALTH SERVICES LLC
Other - Org Name:COSMOS HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:FARZAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOZEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-988-2560
Mailing Address - Street 1:2210 W ALAMEDA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-9410
Mailing Address - Country:US
Mailing Address - Phone:505-988-2560
Mailing Address - Fax:505-988-2421
Practice Address - Street 1:2210 W ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-9410
Practice Address - Country:US
Practice Address - Phone:505-988-2560
Practice Address - Fax:505-988-2421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic