Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 33262 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 33262 | CA |
NPI | 1659759884 |
---|---|
Provider Name | Dr. Sirlina Cook |
First Address | Encino, CA 91436-1555 |
Second Address | Encino, CA 91436-1555 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2015 |
Last Update Date | 07/05/2015 |