Kodama, Cynthia Chizuko

Kodama, Cynthia Chizuko is an individual health care provider with primary practice located at 1499 Huntington Dr Ste 418 , South Pasadena CA 91030-5459. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is her primary health care specialty. Kodama, Cynthia Chizuko can be contacted via phone (626) 460-8398.

Contact Information

Primary practice address
1499 Huntington Dr Ste 418 South Pasadena CA 91030-5459
Phone: (626) 460-8398
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 20A10411 California
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 20A10411 California

Profile Details

NPI number 1013166503
LBN Legal business name Kodama, Cynthia Chizuko
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2008
Last updated Apr 21st, 2024 - about last year

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 1013166503 NPPES
California Other B4719516 DRIVER'S LICENSE

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