GEORGIA KONSTANDOPOU BODE (NPI# 1063479020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063479020 |
| Entity Type | Individual |
| Full Name | GEORGIA KONSTANDOPOU BODE |
| Credential | M.D. |
| Practice Address |
4060 Whittier Blvd Los Angeles CA 90023-2526 |
| Mailing Address |
P.o. Box 3999 Torrance CA 90510-3999 |
| Practice Telephone | 3232685514 |
| Mailing Telephone | 3107923914 |
| Mailing Fax Number | 3107923802 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2014-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | A40295 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
A40295 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A40295 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A402951 | 05 | |
| CA | BLUE SHIELD | 00A402950 | 01 |
| Street Address |
4060 WHITTIER BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90023-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957473 | Eladh, Lp | Skilled Nursing Facility | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2005-07-29 |
| 1174143473 | Trusted Anesthesia Partners, Inc. | Anesthesiology | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2020-04-16 |
| 1053970103 | Rodrick Wayne Moore Sr. | Nurse Anesthetist, Certified Registered | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2019-06-12 |
| 1588198055 | East La Emergency Physicians, Inc. | Emergency Medicine | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2017-04-12 |
| 1841608122 | Cbw Anesthesia | Anesthesiology | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2014-07-30 |
| 1225454812 | Chau Minh Le Md Inc | Anesthesiology | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2014-03-06 |
| 1700225927 | Shang-tian Chuang, D.o., Inc. | Pathology | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2013-06-20 |
| 1093008104 | Shang-tian Chuang, D.o. | Pathology | 4060 Whittier Blvd, Department of Pathology, Los Angeles, CA 90023-2526 | 2011-05-23 |
| 1417102583 | Marcos S Canas Medical Corporation | Anesthesiology | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2008-11-17 |
| 1841477973 | East La Doctors Hospital Lp | Skilled Nursing Facility | 4060 Whittier Blvd, Los Angeles, CA 90023-2526 | 2008-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470384 | Chan Family Medical Corp | General Practice | 4070 E. Olympic Blvd, Los Angeles, CA 90023 | 2019-07-26 |
| 1275059511 | Jeff Moreno | Psychoanalyst | 550 Vermount Ave, Los Angeles, CA 90023 | 2017-08-18 |
| 1457714297 | Isabel Garcia | Counselor | 4543 Sabina Street, Los Angeles, CA 90023 | 2016-03-30 |
| 1275950115 | Daniel Lemor | Ophthalmology | 4036 Whittier Blvd Ste 202, Los Angeles, CA 90023 | 2014-03-27 |
| 1073951992 | Behavioral Health Services, Inc. | Community/Behavioral Health | 2515 Whittier Blvd., Los Angeles, CA 90023 | 2013-06-13 |
| 1003115312 | H.r.imankhan,dds,inc | Dentist | 3356 E. Olympic Blvd, Los Angeles, CA 90023 | 2011-03-25 |
| 1508006297 | Ricca Tinnin | Physician Assistant | 1200 N State St., Dept E.r., La, CA 90023 | 2009-02-20 |
| 1538366851 | Sun Heung Lui | Counselor | 3421 E. Olympic Blvd., Los Angeles, CA 90023 | 2007-06-29 |
| 1851519623 | Atlantic Recovery Services | Community/Behavioral Health | 3225 Flunter St, Estrada Courts Sea, Los Angeles, CA 90023 | 2007-04-24 |
| 1548486947 | Manasseh C Nwaigwe | General Practice | 1159 S. Lorena St, Los Angeles, CA 90023 | 2007-04-17 |
| Find all providers in zip 90023 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826720 | Cedars-sinai Medical Care Foundation | Anesthesiology | 8700 Beverly Blvd Ste Sb-290, Los Angeles, CA 90048-1804 | 2020-09-18 |
| 1083258362 | Farnad Medical Corporation | Anesthesiology | 5757 Wilshire Blvd Ste Pr2, Los Angeles, CA 90036-3689 | 2019-10-30 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1023593977 | Alen Ternian Md A Medical Corporation | Anesthesiology | 8436 W 3rd St Ste 603, Los Angeles, CA 90048-4163 | 2018-09-26 |
| 1467945758 | Braid Medical Corporation | Anesthesiology | 2080 Century Park E Ste 1111, Los Angeles, CA 90067 | 2018-06-11 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1750894796 | Grand Anesthesia and Nursing Services Inc | Anesthesiology | 648 N St Andrews Pl, Los Angeles, CA 90004-1704 | 2017-11-13 |
| 1942741186 | Kevin Yan | Anesthesiology | 1450 San Pablo St Suite 3600 (hc4), Los Angeles, CA 90089-5453 | 2017-03-20 |
| 1841731924 | Mark Davis | Anesthesiology | 8237 Blackburn Ave Apt 103, Los Angeles, CA 90048-4277 | 2017-03-09 |
| 1629428545 | Marie G Kuffner | Anesthesiology | 10866 Leconte Ave, Los Angeles, CA 90095-0001 | 2016-06-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90023 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.