Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A49312 | CA |
N | 207VG0400X | Gynecologist | A49312 | CA |
N | 208200000X | Surgeon | A49312 | CA |
N | 208600000X | Surgeon | A49312 | CA |
NPI | 1073609749 |
---|---|
Provider Name | Dr. Andrew Cook |
First Address | Los Gatos, CA 95032-2019 |
Second Address | Los Gatos, CA 95032-2019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 01/12/2014 |