Individual
DR. CURTIS KIYOSHI KODAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
865 PATRIOT DR STE 101, MOORPARK, CA 93021-3407
(805) 532-2032
(805) 532-2844
Mailing address
865 PATRIOT DR STE 101, MOORPARK, CA 93021-3407
(805) 532-2032
(805) 532-2844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A6143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX61430
—
CA
Enumeration date
10/01/2005
Last updated
11/14/2013
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