Victoria None Cohen-Gadol, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48713 Issued in CA

Practice address

502 N Maple Dr
Beverly Hills, CA 90210-3409

Phone

(310) 936-1699

Fax

(310) 273-1606

NPI assigned

Oct 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1558615559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 NORTH MAPLE",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-936-1699",
            "fax_number": "310-273-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N MAPLE DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103409",
            "telephone_number": "310-936-1699",
            "fax_number": "310-273-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN-GADOL",
        "first_name": "VICTORIA",
        "middle_name": "NONE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lynn Coffelt, PHD
• Gary Ross Cohan, M.D.
• Pejman Cohan, M.D.
• Kamyar Cohanshohet, MD
• Paul Cohart, MD
• Alfred Cohen, M.D.
• Andrew Todd Cohen, M.D.
• Avital Cohen, MFCC
• Brandon Cohen
• Bret Cohen, PA

• General Practice Dentistry in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.