| NPI | 1760566400 |
|---|---|
| Doing Business As | JACOB CHODAKIEWITZ MD |
| Entity Type | Organization |
| Authorized Contact | JACOB W CHODAKIEWITZ President 310-553-3379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA a38243) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-12-05 |