Most Relevant Information
Provider Data
| NPI Number: | 1003251182 |
| Provider Name: | WILLIAM JOHN COGAN D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 23228 |
Most Important Dates
| Enumeration Date: | 05/02/2013 |
| Last Updated: | 05/02/2013 |
Provider Practice Location
204 KELP ST
MANHATTAN BEACH
CA
902663148
Practice Location Phone/Fax
| Phone: | 3104981230 |
| Fax: |
Provider Mailing Location
204 KELP ST
MANHATTAN BEACH
CA
902663148
Provider Mailing Phone/Fax
| Phone: | 3104981230 |
| Fax: |