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Dr. Jason Ellis Cook, MD
Pediatric Critical Care Medicine Physician in Orange, California
NPI 1689775140

Jason Ellis Cook is a Pediatric Critical Care Medicine Physician based in Orange, CA and is specialized in Pediatric Critical Care Medicine. Jason Ellis Cook practices in Orange, CA and has the professional credentials of MD. The NPI Number for Jason Ellis Cook is 1689775140 and holds a License No. A75756 (California).

The current practice location address for Jason Ellis Cook is 1201 W La Veta Ave, Orange, CA and can be reached out via phone at 714-509-8620 and via fax at 714-509-4072.

Location: 1201 W La Veta Ave, Orange, CA, 92868-4203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689775140
Provider Name
Jason Ellis Cook
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1201 W La Veta Ave, Orange, CA, 92868-4203
Phone Number
714-509-8620
Fax Number
714-509-4072
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2104032 05 MA
J28546 01 MA BCBS MA
470153 01 MA TUFTS HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
1201 W La Veta Ave
City
Orange
State
California
Zip
92868
Phone Number
714-509-8620
Fax Number
714-509-4072
person
Provider Business Mailing Address Details
Address
1201 W La Veta Ave
City
Orange
State
California
Zip
92868
Phone Number
714-509-8620
Fax Number
714-509-4072
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
A75756 (California)
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
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