Provider Demographics
NPI:1699705319
Name:COCHRAN, SACHIKO T (MD)
Entity type:Individual
Prefix:PROF
First Name:SACHIKO
Middle Name:T
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16607 CALLE BRITTANY
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-1967
Mailing Address - Country:US
Mailing Address - Phone:310-459-5379
Mailing Address - Fax:310-459-6629
Practice Address - Street 1:10833 LE CONTE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-1721
Practice Address - Country:US
Practice Address - Phone:310-459-5379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG229072085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G229070OtherMEDICAL
CAWG22907BMedicare ID - Type Unspecified
CAWG229070Medicare ID - Type Unspecified
CAE84937Medicare UPIN