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NPI Code Detail

MEDICARE: JOANNIE MAE CATHEY COOK MD

MEDICARE:   JOANNIE MAE CATHEY COOK  MD
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
1207LC0200XCritical Care Medicine (Anesthesiology) PhysicianA33575CA
2207R00000XInternal Medicine PhysicianA33575CA
32083P0500XPreventive Medicine/Occupational Environmental Medicine PhysicianA33575CA

Other Identifiers

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

General Provider Information

NPI Number : 1780737981
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNIE MAE CATHEY COOK MD
Provider Business Mailing Address
First Line : 904 SILVER SPUR RD
Second Line : #200
City : ROLLING HILLS
State : CA
Zip : 90274
Country : US
Telephone Number : 310-724-7448
Fax Number : 323-232-6784
Provider Business Practice Location Address
First Line : 231 W VERNON AVE
Second Line : STE 204
City : LOS ANGELES
State : CA
Zip : 90037-2700
Country : US
Telephone Number : 310-724-7448
Fax Number : 323-232-6784
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 12/04/2014

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Directions to “ JOANNIE MAE CATHEY COOK MD” Practice Location

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