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Individual

CODY J HOUSEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
450 N ROXBURY DR STE 240, BEVERLY HILLS, CA 90210-4240
(310) 651-2040
(310) 651-2042
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.0020998
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95001143
CA

Other

Enumeration date
05/15/2019
Last updated
12/16/2025
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