Phillip Daniel Cohen-Lyons | La Jolla, CA • PECOS Search

Phillip Daniel Cohen-Lyons

Internal Medicine

Allopathic & Osteopathic Physicians

9350 Campus Point Dr, Perlman Medical Offices, La Jolla, CA 92037-1300

PECOS Enrollment

Based on the most recent information from CMS, provider Phillip Daniel Cohen-Lyons does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1548636343
Provider Type
Individual
Full Name
Cohen-Lyons, Phillip Daniel
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/15/2015
Last Updated
8/15/2015

Contact Information

Practice Location

9350 Campus Point Dr, Perlman Medical Offices, La Jolla, CA 92037-1300

Unlisted Fax

Mailing Location

4124 Via Candidiz Unit 142, San Diego, CA 92130-3159

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RG0100X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A137838 California