Organization
COUNTY OF LOS ANGELES
Active
Organization
COUNTY OF LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DION ODEN MSW (PSYCHIATRIC SOCIAL WORKER)
(323) 290-8673
Entity
Organization
Contact information
Practice address
5110 W GOLDLEAF CIR, LOS ANGELES, CA 90056-1282
(323) 290-8673
Mailing address
3717 BAGLEY AVE APT 114, LOS ANGELES, CA 90034-4148
(310) 559-5920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
101YM0800X
CA
251S00000X
Community/Behavioral Health Agency
Primary
19676
CA
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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