Cook, Jason Robert

Cook, Jason Robert is an individual health care provider with primary practice located at 2720 N Harbor Blvd Suite 130, Fullerton CA 92835-2609. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Cook, Jason Robert can be contacted via phone (714) 449-6200.

Contact Information

Primary practice address
2720 N Harbor Blvd Suite 130 Fullerton CA 92835-2609
Phone: (714) 449-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA18459 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA18459 California

Profile Details

NPI number 1831227610
LBN Legal business name Cook, Jason Robert
Credentials M.S., PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jun 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831227610 NPPES
California Other PA18459 PA LICENSE NUMBER

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