Kodama, Curtis Kiyoshi
Kodama, Curtis Kiyoshi is an individual health care provider with primary practice located at 865 Patriot Dr Ste 101 , Moorpark CA 93021-3407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kodama, Curtis Kiyoshi can be contacted via phone (805) 532-2032.Contact Information
Primary practice address
865 Patriot Dr Ste 101
Moorpark CA 93021-3407
Phone: (805) 532-2032
Fax: (805) 532-2844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A6143 | California |
Profile Details
| NPI number | 1679560973 |
|---|---|
| LBN Legal business name | Kodama, Curtis Kiyoshi |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2005 |
| Last updated | Nov 14th, 2013 - about 13 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 | 1679560973 | NPPES |
| California | MEDICAID | 00AX61430 |
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