Courtney Mizuhara-cheng Do Mshs Inc | |
21201 Victory Blvd Ste 154 Canoga Park CA 91303-4051 | |
(818) 661-6367 | |
Not Available |
Full Name | Courtney Mizuhara-cheng Do Mshs Inc |
---|---|
Speciality | Family Medicine |
Location | 21201 Victory Blvd Ste 154, Canoga Park, California |
Authorized Official Name and Position | Virginia M Newsome (DMINISTRATOR) |
Authorized Official Contact | 3049401395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Courtney Mizuhara-cheng Do Mshs Inc 21201 Victory Blvd Ste 154 Canoga Park CA 91303-4051 Ph: (818) 661-6367 | Courtney Mizuhara-cheng Do Mshs Inc 21201 Victory Blvd Ste 154 Canoga Park CA 91303-4051 Ph: (818) 661-6367 |
NPI Number | 1205387719 |
---|---|
Provider Enumeration Date | 10/19/2016 |
Last Update Date | 10/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205387719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A10710 (California) | Primary |
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