Provider Demographics
NPI:1831391184
Name:COHEN, MISHA RUTH (OMD, LAC)
Entity type:Individual
Prefix:DR
First Name:MISHA
Middle Name:RUTH
Last Name:COHEN
Suffix:
Gender:F
Credentials:OMD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 ALBION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-3330
Mailing Address - Country:US
Mailing Address - Phone:415-861-1101
Mailing Address - Fax:
Practice Address - Street 1:2300 SUTTER ST STE 203
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3029
Practice Address - Country:US
Practice Address - Phone:415-861-1101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1491171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist