Juan Carlos Cobo, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G42070 Issued in CA

Practice address

24310 Moulton Pkwy
Ste O #563
Laguna Hills, CA 92637-3306

Phone

(949) 297-3612

Fax

(949) 495-8258

NPI assigned

Jul 22, 2005

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cobo Surgical Medical Associates,Inc

  • Surgery Physician
  • Laguna Hills, CA
  • NPI 1578675062
  NPD (past) Authorized official

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1861492647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24310 MOULTON PKWY",
            "address_2": "STE O #563",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926373306",
            "telephone_number": "949-297-3612",
            "fax_number": "949-495-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24310 MOULTON PKWY",
            "address_2": "STE O #563",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926373306",
            "telephone_number": "949-297-3612",
            "fax_number": "949-495-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBO",
        "first_name": "JUAN CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G42070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Comprehensive Care Medical Center Inc
• Coastal Counseling, Individual, Marriage and Family Therapy, Prof. Corp.
• Coastal Sage Wellness
• Coastline Healthcare Solutions, Inc.
• Cobo Surgical Medical Associates,Inc
• Rose T Codini, M.D.
• Jamie Cohen, M.S., CCC-SLP
• Phillip Thomas Cohen, M.D.
• Brianna Colavita
• Pamela A Cole

• Surgery Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.