| 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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