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Cynthia Kodama, Inc
Clinic/Center in Santa Monica, California
NPI 1003231101

Cynthia Kodama, Inc is a Clinic/Center based in Monterey Park, CA. Cynthia Kodama, Inc practices in Santa Monica, CA. The NPI Number for Cynthia Kodama, Inc is 1003231101 and holds a License No. 20A10411 (California).

The current practice location address for Cynthia Kodama, Inc is 2104 Wilshire Blvd, Santa Monica, CA and can be reached out via phone at 310-882-8258. You can also correspond with Cynthia Kodama, Inc through the mailing address at 1363 PEBBLE HURST ST, MONTEREY PARK, CA - 91754-4422 (mailing address contact number: 323-791-9867).

Location: 2104 Wilshire Blvd, Santa Monica, CA, 91754-4422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003231101
Provider Name
Cynthia Kodama, Inc
Credential
Provider Entity Type
Organization
Address
2104 Wilshire Blvd, Santa Monica, CA, 91754-4422
Phone Number
310-882-8258
Fax Number
Provider Enumeration Date
02/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2104 Wilshire Blvd
City
Santa Monica
State
California
Zip
90403-5704
Phone Number
310-882-8258
Fax Number
person
Provider Business Mailing Address Details
Address
2104 Wilshire Blvd
City
Santa Monica
State
California
Zip
90403-5704
Phone Number
310-882-8258
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
20A10411 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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