# BERNARD M COOKE JR MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245598887
- **Authorized official:** BERNARD COOKE JR. MD (OWNER)
- **Authorized official phone:** (818) 980-1088

## Contact information

- **Practice address:** 12626 RIVERSIDE DR STE 503, NORTH HOLLYWOOD, CA 91607-3462
- **Practice address phone:** (818) 980-1088
- **Mailing address:** 12626 RIVERSIDE DR STE 503, NORTH HOLLYWOOD, CA 91607-3462
- **Mailing address phone:** (818) 980-1088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2012
- **Last updated:** 05/22/2012