Organization
DR. ALLAN BOODNICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN BOODNICK (MFT)
(310) 337-7200
Entity
Organization
Contact information
Practice address
5301 LADERA CREST DR, LOS ANGELES, CA 90056-1152
(310) 337-7200
Mailing address
5301 LADERA CREST DR, LOS ANGELES, CA 90056-1152
(310) 337-7200
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
MFT 2015
CA
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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