Dr. Cynthia Chizuko Kodama
General Practice Physician Neuromusculoskeletal Medicine (NMM)
1416 El Centro St 300
South Pasadena
, California 91030-3202
Dr. Cynthia Chizuko Kodama
General Practice Physician Neuromusculoskeletal Medicine (NMM)
1416 El Centro St 300
South Pasadena
, California 91030-3202
(323) 791-9867
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Cynthia Chizuko Kodama
- 1363 Pebble Hurst St
- Monterey Park, CA
- Zip : 91754-4422
- Phone : (323) 791-9867
Second Address
- Dr. Cynthia Chizuko Kodama
- 1416 El Centro St 300
- South Pasadena, CA
- Zip : 91030-3202
- Phone : (323) 791-9867
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A10411 | CA |
| Y | 208D00000X | General Practice Physician | 20A10411 | CA |
National Provider Identifier
| NPI | 1013166503 |
|---|---|
| Provider Name | Dr. Cynthia Chizuko Kodama |
| First Address | Monterey Park, CA 91754-4422 |
| Second Address | South Pasadena, CA 91030-3202 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/09/2008 |
| Last Update Date | 07/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B4719516 | DRIVER'S LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.