| Cohen & Goel, A Prof Dental Corp | |
|
14306 Victory Blvd Van Nuys CA 91401-1944 | |
| (818) 786-6000 | |
| Not Available |
| Full Name | Cohen & Goel, A Prof Dental Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 14306 Victory Blvd, Van Nuys, California |
| Authorized Official Name and Position | John Cohen (PRESIDENT) |
| Authorized Official Contact | 3107498013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cohen & Goel, A Prof Dental Corp 14306 Victory Blvd Van Nuys CA 91401-1944 Ph: (818) 786-6000 | Cohen & Goel, A Prof Dental Corp 14306 Victory Blvd Van Nuys CA 91401-1944 Ph: (818) 786-6000 |
| NPI Number | 1558973388 |
|---|---|
| Provider Enumeration Date | 08/21/2020 |
| Last Update Date | 07/08/2024 |
| Medicare PECOS PAC ID | 0345669453 |
|---|---|
| Medicare Enrollment ID | O20200923000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558973388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Patric Cohen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1609147602 PECOS PAC ID: 9436570694 Enrollment ID: I20200527000857 |
| Provider Name | Soheil Goel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396964086 PECOS PAC ID: 1052739794 Enrollment ID: I20201005000197 |
| Provider Name | Maryam Aghchay |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1699843847 PECOS PAC ID: 4688093099 Enrollment ID: I20201005002297 |
| Provider Name | John Cohen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1154492379 PECOS PAC ID: 0143648881 Enrollment ID: I20201008000780 |
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