Individual
DANIEL KOZHEBRODSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1344 N MARTEL AVE UNIT 205, LOS ANGELES, CA 90046-4846
(323) 422-2323
Mailing address
1344 N MARTEL AVE UNIT 205, LOS ANGELES, CA 90046-4846
(323) 422-2323
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
84618
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6D330552
HMO HEALTHNET
CA
Enumeration date
09/21/2020
Last updated
09/21/2020
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