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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