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Mansour Joshua Cohen

Specialist

Other Service Providers

7695 Cardinal Ct, Suite 390, San Diego, CA 92123-3357

PECOS Enrollment

This provider is enrolled in PECOS as MANSOUR COHEN.

Based on the most recent information from CMS, provider Mansour Joshua Cohen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1346225356
Provider Type
Individual
Full Name
Cohen, Mansour Joshua
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
12/13/2005
Last Updated
11/23/2009

Contact Information

Practice Location

7695 Cardinal Ct, Suite 390, San Diego, CA 92123-3357

(858) 279-8111

(858) 279-4703

Mailing Location

8508 Ruette Monte Carlo, La Jolla, CA 92037-2012

(858) 459-0500

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License A34624 California

Provider Identifiers

ID	Description	Issuer
ID 00A346240	Description Medicaid	Issuer Unlisted California

Mansour Joshua Cohen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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