# DR. ALLAN BOODNICK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699152850
- **Authorized official:** DR. ALLAN BOODNICK (MFT)
- **Authorized official phone:** (310) 337-7200

## Contact information

- **Practice address:** 5301 LADERA CREST DR, LOS ANGELES, CA 90056-1152
- **Practice address phone:** (310) 337-7200
- **Mailing address:** 5301 LADERA CREST DR, LOS ANGELES, CA 90056-1152
- **Mailing address phone:** (310) 337-7200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | MFT 2015 | CA | Yes |

## Other

- **Enumeration date:** 04/27/2015
- **Last updated:** 04/27/2015