Organization
CORNELIA B. ODELL, M.D.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA RIVERA (DIRECTOR OF BILLING OPERATIONS)
(626) 757-2269
Entity
Organization
Contact information
Practice address
675 S ARROYO PKWY, SUITE# 410, PASADENA, CA 91105-3263
(626) 405-1035
(626) 405-1036
Mailing address
PO BOX 50687, PASADENA, CA 91115-0687
(626) 405-1035
(626) 405-1036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A76154
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H65960
UPIN
CA
Enumeration date
04/13/2009
Last updated
04/13/2009
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