Gary R. Cohan, M.D. - a Medical Corporation

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

G74832 Issued in CA

Legal business name

GARY R. COHAN, M.D. - A MEDICAL CORPORATION

Practice address

150 N Robertson Blvd
Suite 115
Beverly Hills, CA 90211-2142

Phone

(310) 657-6900

Fax

(310) 657-6901

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Ross Cohan, M.D.

Title

President

Phone

(310) 657-6900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1235356536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD",
            "address_2": "SUITE 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112142",
            "telephone_number": "310-657-6900",
            "fax_number": "310-657-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD",
            "address_2": "SUITE 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112142",
            "telephone_number": "310-657-6900",
            "fax_number": "310-657-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY R. COHAN, M.D. - A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "COHAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-657-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "G74832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "G74832",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.