Glenn D. Cohen, MD Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A55543 Issued in CA

Legal business name

GLENN D. COHEN, MD INC.

Practice address

696 Hampshire Rd
Suite 180
Westlake Village, CA 91361-2635

Phone

(805) 370-6877

Fax

(805) 777-7411

NPI assigned

Nov 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glenn D Cohen, MD

Title

President

Phone

(805) 370-6877

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1083896096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S WESTLAKE BLVD",
            "address_2": "SUITE 14 PMB 228",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613108",
            "telephone_number": "805-370-6877",
            "fax_number": "805-777-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 HAMPSHIRE RD",
            "address_2": "SUITE 180",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612635",
            "telephone_number": "805-370-6877",
            "fax_number": "805-777-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN D. COHEN, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-370-6877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A55543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Westlake Village, CA
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• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.