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
Phone: (323) 268-5514
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063479020 | NPPES |
California | Other | 00A402950 | BLUE SHIELD |
California | MEDICAID | 00A402951 | BLUE SHIELD |
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