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Cody Shore

NPI 1740781012 · on the registry since 2018 · sole proprietor

Practice

Address
909 W Temple St
Los Angeles, CA 90012
Phone
(872) 226-7447

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California