Individual
DR. DAVID F BODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1135 S SUNSET AVE, STE 100, WEST COVINA, CA 91790-3937
(626) 856-2215
(626) 960-2125
Mailing address
777 FLOWER ST STE A, GLENDALE, CA 91201-3000
(818) 637-2000
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
C30670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RHL109627
X-RAY
CA
Enumeration date
05/09/2006
Last updated
09/28/2007
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