| Alan M Cohen, MD | |
|
515 E Commonwealth Ave, Fullerton, CA 92832-2020 | |
| (714) 871-7118 | |
| (714) 871-3372 |
| Full Name | Alan M Cohen |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 515 E Commonwealth Ave, Fullerton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134162670 | NPI | - | NPPES |
| 132524301 | Other | TX | CSHCN |
| 82346R | Other | TX | BCBS |
| 132524306 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | J8179 (Texas) | Primary |
| Entity Name | Ut Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Alan M Cohen, MD 515 E Commonwealth Ave, Fullerton, CA 92832-2020 Ph: (714) 871-7118 | Alan M Cohen, MD 515 E Commonwealth Ave, Fullerton, CA 92832-2020 Ph: (714) 871-7118 |
Maren Radcliffe Ross Sowerby, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978 | |
Hao Quy Ngo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978 | |
Phillip Unger, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-992-3978 | |
Bradley A Jackson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-992-3978 | |
Edgar Carmen Stambuk, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978 | |
Samuel Lowry Maxwell Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 East Valencia Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3978 |