Provider Demographics
NPI:1063501062
Name:COX, EMMETT II (MD)
Entity Type:Individual
Prefix:DR
First Name:EMMETT
Middle Name:
Last Name:COX
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 W 6TH ST
Mailing Address - Street 2:WEST BUILDING - SUITE #245
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90732-3514
Mailing Address - Country:US
Mailing Address - Phone:310-519-3146
Mailing Address - Fax:310-519-8864
Practice Address - Street 1:1360 W 6TH ST
Practice Address - Street 2:WEST BUILDING - SUITE #245
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90732-3514
Practice Address - Country:US
Practice Address - Phone:310-519-3146
Practice Address - Fax:310-519-8864
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG56874207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery