Organization
MEDA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ODOU (PRESIDENT)
(925) 405-9602
Entity
Organization
Contact information
Practice address
1001 POTRERO AVE STE 3E22, SAN FRANCISCO, CA 94110-3518
(925) 405-9602
Mailing address
1001 POTRERO AVE STE 3E22, SAN FRANCISCO, CA 94110-3518
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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