Igor Kodzic, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24882 Issued in CA

Practice address

18040 Sherman Way FL 4
Reseda, CA 91335-4637

Phone

(818) 455-6637

NPI assigned

Jan 30, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1558825844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22330 VICTORY BLVD UNIT 805",
            "city": "WOODLAND HLS",
            "state": "CA",
            "postal_code": "913670848",
            "telephone_number": "818-455-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18040 SHERMAN WAY FL 4",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354637",
            "telephone_number": "818-455-6637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15037 Ventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914032442",
            "country_code": "US",
            "telephone_number": "818-455-6637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODZIC",
        "first_name": "IGOR",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "24882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heleen Andrea Klein, PHD
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• Montana Knightsbridge, RN
• Natalie Knox
• James Kodama, DDS
• Elena Kogan
• Jacklin Kohansedgh
• Andy Keith Kongsakul, O.D.
• Kool Living Inc.
• Tina Chelsea Korbelas, PHARM D

• Massage Therapist in Reseda, CA
• Providers in Reseda, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.