Basic Information
| Provider Information | |||||||||
| NPI: | 1386605889 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COHEN | ||||||||
| FirstName: | LARRY | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18225 HALE AVE | ||||||||
| Address2: | |||||||||
| City: | MORGAN HILL | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950373547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4087627022 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 18225 HALE AVE | ||||||||
| Address2: | |||||||||
| City: | MORGAN HILL | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950373547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4087627022 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/01/2006 | ||||||||
| LastUpdateDate: | 07/27/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 33982 | MN | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 2084P0800X | G87951 | CA | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 207P00000X | G87951 | CA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.