Provider Demographics
NPI:1780690032
Name:COX, LUCIEN O (MD)
Entity Type:Individual
Prefix:
First Name:LUCIEN
Middle Name:O
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 WILSHIRE BLVD STE 800
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-3909
Mailing Address - Country:US
Mailing Address - Phone:213-482-9697
Mailing Address - Fax:213-482-3504
Practice Address - Street 1:1127 WILSHIRE BLVD
Practice Address - Street 2:STE 700
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-3908
Practice Address - Country:US
Practice Address - Phone:213-482-9697
Practice Address - Fax:213-482-3504
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34370207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A343700Medicaid
CA00A343700Medicaid
CAA84617Medicare UPIN