Provider Demographics
NPI:1790769834
Name:COX, PAUL DAMIAN (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:DAMIAN
Last Name:COX
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3835 N FREEWAY BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-1954
Mailing Address - Country:US
Mailing Address - Phone:916-576-7900
Mailing Address - Fax:916-285-0338
Practice Address - Street 1:1712 PICASSO AVE STE D
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95618-0546
Practice Address - Country:US
Practice Address - Phone:530-297-7500
Practice Address - Fax:530-297-7751
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2018-03-27
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Provider Licenses
StateLicense IDTaxonomies
CAG0727482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA006727480Medicaid
CA006727480Medicaid