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 |