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Contact Information

GLENN COOK, MD
7877 PARKWAY DR
SUITE 100
LA MESA, CA91942-2000
 Phone: 619-460-3711
 Fax: 619-460-2184
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for GLENN COOK · (Male)

NPI Number 1013078427
Status Active
Credentials MD
Entity Individual
Enumeration date 12/12/2006
Last updated 01/19/2011 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G63727
  • CA Medicaid 00G637271
  • CA Other 0802380003 CORONADO OFFICE NORIDIAN
  • CA Other 0802380001 NORIDIAN PROVIDER NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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