Individual
ANTHONY BODLOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12420 VENICE BLVD, 200, LOS ANGELES, CA 90066-3840
(310) 751-1200
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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