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NPI Code Detail

MEDICARE: LEON KODABAKSHIAN

MEDICARE: LEON KODABAKSHIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1003618257
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEON KODABAKSHIAN
Provider Business Mailing Address
First Line : 20272 VIA CELLINI
Second Line :
City : PORTER RANCH
State : CA
Zip : 91326-4062
Country : US
Telephone Number : 818-359-2476
Fax Number :
Provider Business Practice Location Address
First Line : 6736 LAUREL CANYON BLVD STE 200
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-1576
Country : US
Telephone Number : 818-755-8786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2025
Last Update Date : 06/18/2026

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Directions to “ LEON KODABAKSHIAN ” Practice Location

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