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Organization
NEUROCENTER FOR PAIN AND TREMOR A MEDICAL GROUP INC
Active
Organization
NEUROCENTER FOR PAIN AND TREMOR A MEDICAL GROUP INC
Active
Other names
jacob chodakiewitz md
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB W CHODAKIEWITZ MD (PRESIDENT)
(310) 553-3379
Entity
Organization
Contact information
Practice address
1125 S BEVERLY DR STE 610, LOS ANGELES, CA 90035-1182
(310) 553-3379
(310) 847-9714
Mailing address
1125 S BEVERLY DR, STE.610, LOS ANGELES, CA 90035-1148
(310) 553-3379
(310) 847-9714
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A38243
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A382430
—
CA
Enumeration date
10/25/2006
Last updated
12/05/2019
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