Bernard M Cooke Jr Md Inc | |
12626 Riverside Dr Ste 503 North Hollywood CA 91607-3462 | |
(818) 980-1088 | |
Not Available |
Full Name | Bernard M Cooke Jr Md Inc |
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Speciality | General Practice |
Location | 12626 Riverside Dr Ste 503, North Hollywood, California |
Authorized Official Name and Position | Bernard Cooke (OWNER) |
Authorized Official Contact | 8189801088 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bernard M Cooke Jr Md Inc 12626 Riverside Dr Ste 503 North Hollywood CA 91607-3462 Ph: (818) 980-1088 | Bernard M Cooke Jr Md Inc 12626 Riverside Dr Ste 503 North Hollywood CA 91607-3462 Ph: (818) 980-1088 |
NPI Number | 1245598887 |
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Provider Enumeration Date | 05/02/2012 |
Last Update Date | 05/22/2012 |
Medicare PECOS PAC ID | 1557524725 |
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Medicare Enrollment ID | O20120525000408 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245598887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Bernard M Cooke |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083743322 PECOS PAC ID: 3274796446 Enrollment ID: I20120525000435 |
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