Individual
MARY LOU OZOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5522 SEPULVEDA BLVD, SHERMAN OAKS, CA 91411-3437
(818) 997-1522
(818) 997-0705
Mailing address
PO BOX 513969, LOS ANGELES, CA 90051-3969
(310) 335-4065
(310) 335-4098
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A23566
CA
2085R0001X
Radiation Oncology Physician
Primary
A23566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A235660
—
CA
Enumeration date
11/25/2005
Last updated
06/01/2015
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