Individual
KARI LYNN ODENATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
137 E. THOUSAD OAKS BLVD., THOUSAND OAKS, CA 91360-5707
(805) 379-4574
(805) 379-4324
Mailing address
1203 FLYNN RD UNIT 160, CAMARILLO, CA 93012-6203
(805) 804-4168
(805) 830-1177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA18455
CA
363AM0700X
Medical Physician Assistant
PA18455
CA
363AS0400X
Surgical Physician Assistant
Primary
18455
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA18455
STATE LICENSE
CA
Enumeration date
08/10/2006
Last updated
01/20/2026
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