Georgia Konstandop Bode in Los Angeles - Interventional Pain Medicine
Georgia Konstandop Bode - NPI 1063479020
Georgia Konstandop Bode is a Interventional Pain Medicine in Los Angeles, California. Georgia Konstandop Bode practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Georgia Konstandop Bode is 1063479020. The last update date is 2014-04-11.
Georgia Konstandop Bode's current location address is 4060 Whittier Blvd, Los Angeles, California. You can contact this provider via phone number 3232685514. The mailing address for Georgia Konstandop Bode is 4060 Whittier Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Georgia Konstandop Bode |
|---|---|
| Address | 4060 Whittier Blvd, Los Angeles, California |
| Phone Number | 3232685514 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063479020 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2014-04-11 |
Provider Mailing Address Detail
| Address | 4060 Whittier Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900232526 |
| Phone Number | 3232685514 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | A40295 |
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Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A402950 | CA | BLUE SHIELD | |
| 00A402951 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Georgia Konstandop Bode by the Centers for Medicare & Medicaid Services?
The Georgia Konstandop Bode has been assigned the NPI (National Provider Identifier) 1063479020. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Georgia Konstandop Bode is located?
The Georgia Konstandop Bode is situated at the following address: 4060 Whittier Blvd, Los Angeles, CA, 900232526.
What is Georgia Konstandop Bode's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Georgia Konstandop Bode's specialized field of practice is Interventional Pain Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 208Vp0014X.
On what date did the Georgia Konstandop Bode receive the assignment of its 1063479020 from the Centers for Medicare & Medicaid Services?
The Georgia Konstandop Bode was issued its 1063479020 by the Centers for Medicare & Medicaid Services on 2006-04-26.
As of what date were the details related to Georgia Konstandop Bode most recently updated or revised?
The information pertaining to Georgia Konstandop Bode, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-11.
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