Individual ProviderAviva CohenAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address170 Alameda De Las Pulgas, Redwood City, CA 94062-2751(650) 369-5811(415) 460-9927PECOS EnrollmentBased on the most recent information from CMS, provider Aviva Cohen is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1962420364Provider TypeIndividualFull NameCohen, AvivaTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date7/17/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address170 Alameda De Las Pulgas, Redwood City, CA 94062-2751Phone(650) 369-5811FaxUnlisted FaxMailing LocationMailing Address700 Irwin St Ste 102, San Rafael, CA 94901-3300Phone(415) 460-9927FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseG38432California