Provider Demographics
NPI:1336278373
Name:COHEN, MARSHA K (MS CNS)
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:K
Last Name:COHEN
Suffix:
Gender:F
Credentials:MS CNS
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Mailing Address - Street 1:20 LIGHTHOUSE ST
Mailing Address - Street 2:ST 1
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292
Mailing Address - Country:US
Mailing Address - Phone:310-888-8037
Mailing Address - Fax:
Practice Address - Street 1:435 N ROXBURY DR
Practice Address - Street 2:300
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-888-8037
Practice Address - Fax:310-278-5765
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDN00107133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CN00453Medicare UPIN