KODA THERAPY GROUP NPI 1689219594

NPI Information

  • NPI: 1689219594
  • Provider Name: KODA THERAPY GROUP
  • Classification: Clinic/Center - 261QP3300X
  • Specialization: Pain
  • Entity Type: Organization
  • Address: 2421 PARK BLVD STE B205
    PALO ALTO, CA
    ZIP 94306
  • Phone: (650) 441-2894

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NPI Details

KODA THERAPY GROUP is a pain clinic center in Palo Alto, CA. KODA THERAPY GROUP NPI is 1689219594. The provider is registered as an organization entity type.

The provider's business location address is:

2421 PARK BLVD STE B205
PALO ALTO, CA
ZIP 94306-998
Phone: (650) 441-2894

The provider's authorized official is Abigail Howe .
The authorized official title is Owner, Founder and has the following contact phone number (650) 441-2894.

The enumeration date for this NPI number is 11/14/2019 and was last updated on 11/14/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP3300XClinic/CenterPainYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11831751403OTHERCALIFORNIAPROFESSIONAL

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: 3/30/2025

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