Organization
CENTER FOR BIO-BEHAVIORAL SCIENCE MEDICAL CORPORATION
Active
Organization
CENTER FOR BIO-BEHAVIORAL SCIENCE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MARK PODELL M.D. (CEO/OWNER)
(310) 556-1013
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E, 308, LOS ANGELES, CA 90067-2006
(310) 556-0970
(310) 556-1014
Mailing address
2080 CENTURY PARK E, 308, LOS ANGELES, CA 90067-2006
(310) 556-0970
(310) 556-1014
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
G32379
CA
Other
Enumeration date
04/23/2008
Last updated
04/24/2008
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