Cohenzadeh, Elias

Cohenzadeh, Elias is an individual health care provider with primary practice located at 1034 Princeton St , Santa Monica CA 90403-4702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Cohenzadeh, Elias can be contacted via phone (310) 951-5453.

Contact Information

Primary practice address
1034 Princeton St Santa Monica CA 90403-4702
Phone: (310) 951-5453
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A36930 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A36930 California

Profile Details

NPI number 1447284385
LBN Legal business name Cohenzadeh, Elias
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated May 5th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447284385 NPPES
California Other A36930 PROFESSIONAL LICENSE
California MEDICAID 00A369300 PROFESSIONAL LICENSE

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