Provider Demographics
NPI:1659759884
Name:COOK, SIRLINA (DC)
Entity Type:Individual
Prefix:DR
First Name:SIRLINA
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4735 GLORIA AVE
Mailing Address - Street 2:#4
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1555
Mailing Address - Country:US
Mailing Address - Phone:310-980-5280
Mailing Address - Fax:
Practice Address - Street 1:4735 GLORIA AVE
Practice Address - Street 2:#4
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1555
Practice Address - Country:US
Practice Address - Phone:310-980-5280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33262111NS0005X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111NX0800XChiropractic ProvidersChiropractorOrthopedic