MEDICARE: DR. ERIN ATKINSON COOK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A116372	CA
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	A116372	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558504381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN ATKINSON COOK M.D.

Provider Business Mailing Address
First Line	:	2118 LINNINGTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025
Country	:	US
Telephone Number	:	650-269-5599
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 UCLA MEDICAL PLZ
Second Line	:	SUITE 420
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-7417
Country	:	US
Telephone Number	:	310-206-8272
Fax Number	:	310-206-3551

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2009
Last Update Date	:	08/05/2014

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