Active NPI
Courtney Mizuhara-Cheng, D.O., M.S.H.S., Inc.
- Family Medicine Physician
- Santa Monica, CA
National Provider Identifier
1588041248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A10710
- Legal business name
- COURTNEY MIZUHARA-CHENG, D.O., M.S.H.S., INC.
- Practice address
- 2901 Ocean Park Blvd Ste 207
Santa Monica, CA 90405-2964 - Phone
- (424) 272-6513
- NPI assigned
- May 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Courtney Mizuhara-Cheng, D.O.
- Title
- President
- Phone
- (424) 272-6513
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A10710 | CA | Primary |
Addresses
Primary practice location
2901 Ocean Park Blvd Ste 207
Santa Monica, CA 90405-2964
Mailing address
2901 Ocean Park Blvd Ste 207
Santa Monica, CA 90405-2964
Phone (424) 272-6513
Other names 1
- Comprehensive Health Integration
National Provider Directory
National Provider DirectoryLocations
2901 Ocean Park Blvd
Ste 207
Santa Monica, CA 90405
Phone (310) 396-2245
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Santa Monica, CA
- NPI 1447367412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430438400000",
"number": "1588041248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 OCEAN PARK BLVD STE 207",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904052964",
"telephone_number": "424-272-6513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 OCEAN PARK BLVD STE 207",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904052964",
"telephone_number": "424-272-6513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COURTNEY MIZUHARA-CHENG, D.O., M.S.H.S., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-01",
"last_updated": "2015-05-01",
"status": "A",
"authorized_official_last_name": "MIZUHARA-CHENG",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "424-272-6513",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "20A10710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Comprehensive Health Integration",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.