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Dr. John P O'dea, MD
Specialist in Los Angeles, California
NPI 1902836273

John P O'dea is a Specialist based in Los Angeles, CA. John P O'dea practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for John P O'dea is 1902836273 and holds a License No. A032629 (California).

The current practice location address for John P O'dea is 1950 Sawtelle Blvd, Los Angeles, CA and can be reached out via phone at 310-481-2245 and via fax at 310-481-2226.

Location: 1950 Sawtelle Blvd, Los Angeles, CA, 90025-7014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902836273
Provider Name
John P O'dea
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1950 Sawtelle Blvd, Los Angeles, CA, 90025-7014
Phone Number
310-481-2245
Fax Number
310-481-2226
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A032629 01 CA CA STATE LICENSE
WA32629G 01 PPIN
institution
Provider Business Practice Location Address Details
Address
1950 Sawtelle Blvd
City
Los Angeles
State
California
Zip
90025-7014
Phone Number
310-481-2245
Fax Number
310-481-2226
person
Provider Business Mailing Address Details
Address
1950 Sawtelle Blvd
City
Los Angeles
State
California
Zip
90025-7014
Phone Number
310-481-2245
Fax Number
310-481-2226
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A032629 (California)
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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