Basic Information
| Provider Information | |||||||||
| NPI: | 1255462255 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COHEN | ||||||||
| FirstName: | HOWARD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 255 NORTH EL CIELO ROAD | ||||||||
| Address2: | C300 | ||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92262 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7606743344 | ||||||||
| FaxNumber: | 7606743372 | ||||||||
| Practice Location | |||||||||
| Address1: | 255 N EL CIELO RD | ||||||||
| Address2: | C300 | ||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922626992 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7606743344 | ||||||||
| FaxNumber: | 7606743372 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2007 | ||||||||
| LastUpdateDate: | 09/02/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 20A5322 | CA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 20A5322 | 01 | CA | MEDICAL LICENSE | OTHER |