| Doctor Name: | DR. CYNTHIA CHIZUKO KODAMA |
| NPI Number: | 1013166503 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 20A10411 |
| Business Practice Address: | 1416 El Centro St 300 South Pasadena, CA - 910303202 |
| Business Phone Number: | 3237919867 |
| Business Fax Number: | |
| Mailing Address: | 1363 Pebble Hurst St, MONTEREY PARK |
| State: | CA |
| Postal Code: | 917544422 |
| Phone Number: | 3237919867 |
| Fax Number: | |
| NPI Enumeration Date: | 09/09/2008 |
| NPI Last Update Date: | 09/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 20A10411 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |