John P O'Dea is a Specialist in Los Angeles, California. John P O'Dea practices all healthcare services and medical treatments related to Specialist. The NPI Number for John P O'Dea is 1902836273. The last update date is 2007-07-09.
John P O'Dea's current location address is 1950 Sawtelle Blvd, Los Angeles, California. You can contact this provider via phone number 3104812245 and fax number 3104812226. The mailing address for John P O'Dea is 1950 Sawtelle Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John P O'Dea |
|---|---|
| Address | 1950 Sawtelle Blvd, Los Angeles, California |
| Phone Number | 3104812245 |
| Fax Number | 3104812226 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902836273 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1950 Sawtelle Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900257014 |
| Phone Number | 3104812245 |
| Fax Number | 3104812226 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A032629 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A032629 | CA | CA STATE LICENSE | |
| WA32629G | PPIN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John P O'Dea by the Centers for Medicare & Medicaid Services?
The John P O'Dea has been assigned the NPI (National Provider Identifier) 1902836273 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where John P O'Dea is located?
The John P O'Dea is situated at the following address: 1950 Sawtelle Blvd, Los Angeles, CA, 900257014.
What is John P O'Dea's specialized field of practice, and what is the corresponding taxonomy classification code?
The John P O'Dea's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the John P O'Dea receive the assignment of its 1902836273 from the Centers for Medicare & Medicaid Services?
The John P O'Dea was issued its 1902836273 by the Centers for Medicare & Medicaid Services on 2006-07-03.
When was the information pertaining to John P O'Dea most recently updated or revised?
The details related to John P O'Dea, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.