Organization Active NPI

Gregpry D Cohen MD Inc

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1740478759
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G73635 Issued in CA
Legal business name
GREGPRY D COHEN MD INC
Practice address
11645 Wilshire Blvd Ste 701
Los Angeles, CA 90025-6810
Phone
(310) 231-9500
Fax
(310) 231-9230
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Michelle Cortez
Title
Office Admin
Phone
(310) 231-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G73635 CA Primary

Addresses

Primary practice location

11645 Wilshire Blvd Ste 701
Los Angeles, CA 90025-6810

Mailing address

11645 Wilshire Blvd Ste 701
Los Angeles, CA 90025-6810
Phone (310) 231-9500

Other identifiers 1

IdentifierTypeStateIssuer
W17915OtherCAMEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1740478759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256810",
            "telephone_number": "310-231-9500",
            "fax_number": "310-231-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256810",
            "telephone_number": "310-231-9500",
            "fax_number": "310-231-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGPRY D COHEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "310-231-9500"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G73635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W17915",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.