Individual
MR. MATTHEW COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-3281
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-3281
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
29316
CA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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