| Charles Kodimer Phd Psychological | |
|
10927 Downey Ave Ste C Downey CA 90241-3739 | |
| (562) 861-6180 | |
| Not Available |
| Full Name | Charles Kodimer Phd Psychological |
|---|---|
| Speciality | Psychologist |
| Location | 10927 Downey Ave Ste C, Downey, California |
| Authorized Official Name and Position | Charles Kodimer (OWNER) |
| Authorized Official Contact | 5628616180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Kodimer Phd Psychological Po Box 78988 Corona CA 92877-0166 Ph: (951) 676-4393 | Charles Kodimer Phd Psychological 10927 Downey Ave Ste C Downey CA 90241-3739 Ph: (562) 861-6180 |
| NPI Number | 1891749727 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/13/2023 |
| Medicare PECOS PAC ID | 3870512395 |
|---|---|
| Medicare Enrollment ID | O20051114001280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891749727 | NPI | - | NPPES |
| Provider Name | Charles Kodimer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023040599 PECOS PAC ID: 8325013733 Enrollment ID: I20040830000623 |
| Provider Name | Susanne M Guffey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760676936 PECOS PAC ID: 6800051913 Enrollment ID: I20120622000131 |
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