Organization
COURTNEY MIZUHARA-CHENG DO MSHS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA M NEWSOME ADMINISTRATOR (DMINISTRATOR)
(304) 940-1395
Entity
Organization
Contact information
Practice address
21201 VICTORY BLVD STE 154, CANOGA PARK, CA 91303-4051
(818) 661-6367
Mailing address
21201 VICTORY BLVD STE 154, CANOGA PARK, CA 91303-4051
(818) 661-6367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A10710
CA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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