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Mr. Jason Robert Cook, MS,PA-C
Surgical Physician Assistant in Fullerton, California
NPI 1831227610

Jason Robert Cook is a Surgical Physician Assistant based in Walnut, CA and is specialized in Surgical. Jason Robert Cook practices in Fullerton, CA and has the professional credentials of MS,PA-C. The NPI Number for Jason Robert Cook is 1831227610 and holds a License No. PA18459 (California).

The current practice location address for Jason Robert Cook is 2720 N Harbor Blvd, Fullerton, CA and can be reached out via phone at 714-449-6200.

Location: 2720 N Harbor Blvd, Fullerton, CA, 91789-4526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831227610
Provider Name
Jason Robert Cook
Credential
MS,PA-C
Provider Entity Type
Individual
Gender
Male
Address
2720 N Harbor Blvd, Fullerton, CA, 91789-4526
Phone Number
714-449-6200
Fax Number
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA18459 01 CA PA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2720 N Harbor Blvd
City
Fullerton
State
California
Zip
92835-2609
Phone Number
714-449-6200
Fax Number
person
Provider Business Mailing Address Details
Address
2720 N Harbor Blvd
City
Fullerton
State
California
Zip
92835-2609
Phone Number
714-449-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA18459 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA18459 (California)
Definition
Definition to come...
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