Individual
MR. KEVIN ANTHONY CODORNIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST STE 1516E, LOMA LINDA, CA 92354-2804
(909) 558-4909
Mailing address
25439 LANE ST, LOMA LINDA, CA 92354-2312
(909) 796-9698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A99953
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A99953
CA
Other
Enumeration date
05/22/2007
Last updated
09/10/2024
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