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Individual

DR. CYNTHIA CHIZUKO KODAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1499 HUNTINGTON DR STE 418, SOUTH PASADENA, CA 91030-5459
(626) 460-8398
Mailing address
1363 PEBBLE HURST ST, MONTEREY PARK, CA 91754-4422
(323) 791-9867

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
20A10411
CA
208D00000X
General Practice Physician
20A10411
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B4719516
DRIVER'S LICENSE
CA
Enumeration date
09/09/2008
Last updated
04/21/2024
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