Odyssey Medical Group in Marina Del Rey - Specialist
Odyssey Medical Group - NPI 1932320256
Odyssey Medical Group is a Specialist in Marina Del Rey, California. Odyssey Medical Group practices all healthcare services and medical treatments related to Specialist. The NPI Number for Odyssey Medical Group is 1932320256. The last update date is 2020-08-22.
Odyssey Medical Group's current location address is 4832 Lincoln Blvd, Marina Del Rey, California. You can contact this provider via phone number 3108217658 and fax number 3108211708. The mailing address for Odyssey Medical Group is 4832 Lincoln Blvd, Marina Del Rey, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Odyssey Medical Group |
|---|---|
| Address | 4832 Lincoln Blvd, Marina Del Rey, California |
| Phone Number | 3108217658 |
| Fax Number | 3108211708 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Glenn Marica |
| Credentials | M.D |
| Telephone Number | 3108217658 |
NPI Number Detail
| NPI Number | 1932320256 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4832 Lincoln Blvd |
|---|---|
| City | Marina Del Rey |
| State | California (CA) |
| Post Code | 902926917 |
| Phone Number | 3108217658 |
| Fax Number | 3108211708 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | E4238 |
|
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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What is the unique 10-digit identification code assigned to Odyssey Medical Group by the Centers for Medicare & Medicaid Services?
The Odyssey Medical Group has been issued the NPI (National Provider Identifier) 1932320256, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Odyssey Medical Group is physically located?
The Odyssey Medical Group is situated at the following address: 4832 Lincoln Blvd, Marina Del Rey, CA 902926917.
What is Odyssey Medical Group's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Odyssey Medical Group is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did Odyssey Medical Group receive its 1932320256 assignment from the Centers for Medicare & Medicaid Services?
The Odyssey Medical Group was assigned its 1932320256 on 2007-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Odyssey Medical Group most recently updated?
The details pertaining to the Odyssey Medical Group, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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