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DAVID KUDROW MD NPI 1528220803


NPI Information

NPI: 1528220803
Provider Name: DAVID KUDROW MD

Doing Business As: CALIFORNIA MEDICAL CLINIC FOR HEADACHE

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2001 SANTA MONICA BLVD
SUITE #880W
SANTA MONICA, CA
ZIP 90404
Phone: (310) 315-1456
Get Directions

DAVID KUDROW MD is a neurology psychiatry neurology in Santa Monica, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DAVID KUDROW MD NPI is 1528220803. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As California Medical Clinic For Headache.

The provider's business location address is:

2001 SANTA MONICA BLVD
SUITE #880W
SANTA MONICA, CA
ZIP 90404-102
Phone: (310) 315-1456
Fax: (310) 315-1486

The provider's authorized official is David Bruce Kudrow .
The authorized official title is Director and has the following contact phone number (310) 315-1456.

The enumeration date for this NPI number is 6/27/2008 and was last updated on 6/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyG062166CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W14252AMEDICARE PINCALIFORNIA
2E70496MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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