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Organization

CYNTHIA KODAMA, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CYNTHIA KODAMA D.O. (OWNER)
(323) 791-9867
Entity
Organization

Contact information

Practice address
2104 WILSHIRE BLVD, SANTA MONICA, CA 90403-5704
(310) 882-8258
Mailing address
1363 PEBBLE HURST ST, MONTEREY PARK, CA 91754-4422
(323) 791-9867

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20A10411
CA

Other

Enumeration date
02/26/2014
Last updated
03/14/2014
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