Individual
COURTNEY TAMIKO MIZUHARA-CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2901 OCEAN PARK BLVD STE 207, SANTA MONICA, CA 90405-2964
(424) 272-6513
Mailing address
2901 OCEAN PARK BLVD STE 207, SANTA MONICA, CA 90405-2964
(424) 272-6513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A10710
CA
Other
Enumeration date
06/29/2007
Last updated
06/15/2016
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