Organization
NEIL GHODADRA M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL S. GHODADRA MD (PHYSICIAN/DIRECTOR)
(678) 596-1344
Entity
Organization
Contact information
Practice address
10780 SANTA MONICA BLVD, SUITE 210, LOS ANGELES, CA 90025-4749
(310) 929-4787
Mailing address
PO BOX 8636, CALABASAS, CA 91372-8636
(678) 596-1344
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
09/09/2016
Last updated
03/02/2022
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