Individual
DR. JON E ODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9300 VALLEY CHILDRENS PL # FE10, MADERA, CA 93636-8761
(559) 353-5941
Mailing address
9300 VALLEY CHILDRENS PL STE SC05, MADERA, CA 93636-8761
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2005019591
MO
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
A87272
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215974563
—
CA
01
—
200319
BLUE CROSS BLUE SHIELD
MO
05
—
207491002
—
MO
01
—
2530801
UNITED HEALTHCARE
MO
01
—
254906V3223
GROUP HEALTH PLAN
MO
01
—
724554
HEALTHLINK
MO
01
—
7925639
AETNA
MO
01
—
9807545
CIGNA
MO
Enumeration date
06/02/2006
Last updated
04/13/2020
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