Individual
DR. JOHN P O'DEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1950 SAWTELLE BLVD, SUITE 145 A, LOS ANGELES, CA 90025-7014
(310) 481-2245
(310) 481-2226
Mailing address
1950 SAWTELLE BLVD, SUITE 145 A, LOS ANGELES, CA 90025-7014
(310) 481-2245
(310) 481-2226
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A032629
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A032629
CA STATE LICENSE
CA
01
—
WA32629G
PPIN
—
Enumeration date
07/03/2006
Last updated
07/09/2007
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