Individual
JOHANNES BODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1510 SAN PABLO ST, SUITE 514, LOS ANGELES, CA 90033-5320
(323) 442-5910
(323) 442-6798
Mailing address
1510 SAN PABLO ST, SUITE 514, LOS ANGELES, CA 90033-5320
(323) 442-5910
(323) 442-6798
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F5431
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F5431
2113 PHYSICIANS CERT.
CA
Enumeration date
11/01/2007
Last updated
01/23/2008
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