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MARK D COOK MD INC NPI 1588927628


NPI Information

NPI: 1588927628
Provider Name: MARK D COOK, MD, INC

Former Legal Business Name: MARK D COOK, MD

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1425 W H ST
STE 200
OAKDALE, CA
ZIP 95361
Phone: (209) 848-1005
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MARK D COOK, MD, INC is a primary care clinic center in Oakdale, CA. MARK D COOK, MD, INC NPI is 1588927628. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mark D Cook, Md.

The provider's business location address is:

1425 W H ST
STE 200
OAKDALE, CA
ZIP 95361-588
Phone: (209) 848-1005
Fax: (209) 845-8918

The provider's authorized official is Mark Daniel Cook .
The authorized official title is Owner and has the following contact phone number (209) 848-1005.

The enumeration date for this NPI number is 6/22/2012 and was last updated on 6/22/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareA60965CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H23316MEDICARE UPINCALIFORNIA
200A609650MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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