Bode, Georgia Konstandopou

Bode, Georgia Konstandopou is an sole proprietor health care provider with primary practice located at 4060 Whittier Blvd , Los Angeles CA 90023-2526. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Bode, Georgia Konstandopou can be contacted via phone (323) 268-5514.

Contact Information

Primary practice address
4060 Whittier Blvd Los Angeles CA 90023-2526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A40295 California
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X A40295 California
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X A40295 California

Profile Details

NPI number 1063479020
LBN Legal business name Bode, Georgia Konstandopou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Apr 11th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063479020 NPPES
California Other 00A402950 BLUE SHIELD
California MEDICAID 00A402951 BLUE SHIELD

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