Provider Demographics
NPI:1932251063
Name:COHODAS, BARTON WAYNE (DC)
Entity Type:Individual
Prefix:MR
First Name:BARTON
Middle Name:WAYNE
Last Name:COHODAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 S EUCLID ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-1530
Mailing Address - Country:US
Mailing Address - Phone:714-533-7000
Mailing Address - Fax:714-533-7000
Practice Address - Street 1:720 S EUCLID ST
Practice Address - Street 2:SUITE 1
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92802-1530
Practice Address - Country:US
Practice Address - Phone:714-533-7000
Practice Address - Fax:714-533-7000
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA014836111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC14836Medicare ID - Type Unspecified