Provider Demographics
NPI:1205968369
Name:CONRAD A. COX, M.D . INC.
Entity type:Organization
Organization Name:CONRAD A. COX, M.D . INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CONRAD
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-461-8584
Mailing Address - Street 1:5750 DOWNEY AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-1477
Mailing Address - Country:US
Mailing Address - Phone:562-461-8584
Mailing Address - Fax:562-429-7800
Practice Address - Street 1:5750 DOWNEY AVE STE 303
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-1477
Practice Address - Country:US
Practice Address - Phone:562-461-8584
Practice Address - Fax:562-429-7800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0065723207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty