Provider Demographics
NPI:1336414556
Name:COZEN, HAROLD (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:
Last Name:COZEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 CATALUNA PLACE
Mailing Address - Street 2:
Mailing Address - City:PACOS VERDES ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274
Mailing Address - Country:US
Mailing Address - Phone:310-378-5935
Mailing Address - Fax:310-378-5935
Practice Address - Street 1:1600 CATALUNA PLACE
Practice Address - Street 2:
Practice Address - City:PACOS VERDES ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274
Practice Address - Country:US
Practice Address - Phone:310-378-5935
Practice Address - Fax:310-378-5935
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAFE28031207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine