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Organization

DAVID KUDROW MD

Active
Other names
CALIFORNIA MEDICAL CLINIC FOR HEADACHE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID BRUCE KUDROW MD (DIRECTOR)
(310) 315-1456
Entity
Organization

Contact information

Practice address
2001 SANTA MONICA BLVD, SUITE #880W, SANTA MONICA, CA 90404-2102
(310) 315-1456
(310) 315-1486
Mailing address
2001 SANTA MONICA BLVD, SUITE #880W, SANTA MONICA, CA 90404-2102
(310) 315-1456
(310) 315-1486

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G062166
CA

Other

Enumeration date
06/27/2008
Last updated
06/27/2008
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