Provider Demographics
NPI:1710741327
Name:BENJAMIN JACK COHEN, MD, A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:BENJAMIN JACK COHEN, MD, A MEDICAL CORPORATION
Other - Org Name:MY HEART VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:JACK
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-903-0312
Mailing Address - Street 1:6325 TOPANGA CANYON BLVD STE 111
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2013
Mailing Address - Country:US
Mailing Address - Phone:747-400-2652
Mailing Address - Fax:747-877-8170
Practice Address - Street 1:6325 TOPANGA CANYON BLVD STE 111
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2013
Practice Address - Country:US
Practice Address - Phone:747-400-2652
Practice Address - Fax:747-877-8170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty