Cynthia Kodama, INC
Clinic/Center in Santa Monica, CA. Organization (NPI-2).
NPI number1003231101
StatusActive
Last updated in NPPESMar 14, 2014
Details
- NPI
- 1003231101
- Entity type
- Organization (NPI-2)
- Legal business name
- Cynthia Kodama, INC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2014
- Last updated
- Mar 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 20A10411 | CA | Yes |
Practice location
2104 Wilshire BlvdSanta Monica, CA 90403-5704
Phone 310-882-8258
Mailing address
1363 Pebble Hurst StMonterey Park, CA 91754-4422
Phone 323-791-9867
Authorized official
Cynthia Kodama
Owner
3237919867
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