Dr. Myron Blaine Cooke
Independent Medical Examiner
3756 Santa Rosalia Dr Ste 609
Los Angeles
, California 90008-3606
Dr. Myron Blaine Cooke
Independent Medical Examiner
3756 Santa Rosalia Dr Ste 609
Los Angeles
, California 90008-3606
(323) 298-0971
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About
Features
Specialties
- Independent Medical Examiner
Languages spoken
- English
Location
First Address
- Dr. Myron Blaine Cooke
- 3756 Santa Rosalia Dr Ste 609
- Los Angeles, CA
- Zip : 90008-3606
- Fax : (323) 298-0971
- Phone : (323) 298-7956
Second Address
- Dr. Myron Blaine Cooke
- 3756 Santa Rosalia Dr Ste 609
- Los Angeles, CA
- Zip : 90008-3606
- Fax : (323) 298-0971
- Phone : (323) 298-7956
Reviews
FAQs
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Is Dr. Myron Blaine Cooke a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NI0013X | Independent Medical Examiner | DC 18766 | CA |
National Provider Identifier
| NPI | 1831307669 |
|---|---|
| Provider Name | Dr. Myron Blaine Cooke |
| First Address | Los Angeles, CA 90008-3606 |
| Second Address | Los Angeles, CA 90008-3606 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2007 |
| Last Update Date | 11/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| DC18766 | MEDICARE PTAN (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.