| Lisa G Cook Md Inc | |
|
2080 Century Park E Suite 203 Los Angeles CA 90067-2001 | |
| (310) 277-9534 | |
| (310) 277-9285 |
| Full Name | Lisa G Cook Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2080 Century Park E, Los Angeles, California |
| Authorized Official Name and Position | Lisa G Cook (OWNER/PROVIDER) |
| Authorized Official Contact | 3102779534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa G Cook Md Inc 2080 Century Park E Suite 203 Los Angeles CA 90067-2001 Ph: (310) 277-9534 | Lisa G Cook Md Inc 2080 Century Park E Suite 203 Los Angeles CA 90067-2001 Ph: (310) 277-9534 |
| NPI Number | 1346560661 |
|---|---|
| Provider Enumeration Date | 06/09/2010 |
| Last Update Date | 07/24/2012 |
| Medicare PECOS PAC ID | 5092848374 |
|---|---|
| Medicare Enrollment ID | O20101007000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346560661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A108321 (California) | Primary |
| Provider Name | Andrew Michael Blumenfeld |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164459913 PECOS PAC ID: 5890695605 Enrollment ID: I20040109000296 |
| Provider Name | Lisa G Cook |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508983222 PECOS PAC ID: 0143373902 Enrollment ID: I20090728000133 |
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