| Harriet T Cokely Md Inc | |
|
2222 Santa Monica Blvd Suite 402 Santa Monica CA 90404-2304 | |
| (310) 828-5900 | |
| Not Available |
| Full Name | Harriet T Cokely Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2222 Santa Monica Blvd, Santa Monica, California |
| Authorized Official Name and Position | Vincent Cokely (CFO) |
| Authorized Official Contact | 3106708574 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harriet T Cokely Md Inc 2222 Santa Monica Blvd Suite 402 Santa Monica CA 90404-2304 Ph: () - | Harriet T Cokely Md Inc 2222 Santa Monica Blvd Suite 402 Santa Monica CA 90404-2304 Ph: (310) 828-5900 |
| NPI Number | 1053489906 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 06/02/2008 |
| Medicare PECOS PAC ID | 3971693334 |
|---|---|
| Medicare Enrollment ID | O20071221000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053489906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (California) | Primary |
| Provider Name | Harriet T Cokely |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700936168 PECOS PAC ID: 2264522622 Enrollment ID: I20071221000338 |
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