Individual provider · NPI-1

Dr. Curtis Kiyoshi Kodama, D.O.

Family Medicine · Moorpark, CA

NPI number1679560973
StatusActive
Last updated in NPPESNov 14, 2013

Details

NPI
1679560973
Entity type
Individual (NPI-1)
Name
Dr. Curtis Kiyoshi Kodama
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 1, 2005
Last updated
Nov 14, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine20A6143CAYes

Practice location

865 Patriot Dr Ste 101
Moorpark, CA 93021-3407

Phone 805-532-2032 · Fax 805-532-2844

Mailing address

865 Patriot Dr Ste 101
Moorpark, CA 93021-3407

Phone 805-532-2032 · Fax 805-532-2844

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