Healthcare Provider Details

I. General information

NPI: 1558504381
Provider Name (Legal Business Name): ERIN ATKINSON COOK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN EILEEN ATKINSON M.D.

II. Dates (important events)

Enumeration Date: 04/09/2009
Last Update Date: 08/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 UCLA MEDICAL PLZ SUITE 420
LOS ANGELES CA
90095-7417
US

IV. Provider business mailing address

2118 LINNINGTON AVE
LOS ANGELES CA
90025
US

V. Phone/Fax

Practice location:
  • Phone: 310-206-8272
  • Fax: 310-206-3551
Mailing address:
  • Phone: 650-269-5599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA116372
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberA116372
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: