Individual
HESHMAT COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11500 BROOKSHIRE AVE, DOWNEY, CA 90241-4917
(562) 904-5000
Mailing address
PO BOX 7630, LAGUNA NIGUEL, CA 92607-7630
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A42633
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A42633
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
A42633
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A42633
STATE LICENSE
CA
Enumeration date
09/16/2006
Last updated
06/18/2010
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