Individual provider · Type 1 NPI

Mikaela Renee Cohen, PA-C

Physician Assistant · San Luis Obispo, CA

NPI number 1245895564 Active

Practice location

777 E Foothill Blvd
San Luis Obispo, CA 93405-1617

Fax (805) 541-1167

Mailing address

PO Box 689
Santa Barbara, CA 93102-0689

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X56601 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1245895564

Mikaela Renee Cohen, PA-C's National Provider Identifier is 1245895564, issued on May 2, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Oct 14, 2026.