MARK WILLIAM ODOU (NPI# 1700845294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700845294 |
| Entity Type | Individual |
| Full Name | MARK WILLIAM ODOU |
| Credential | MD |
| Practice Address |
401 W Beverly Blvd Montebello CA 90640-3620 |
| Practice Telephone | 3237280131 |
| Practice Fax Number | 3237252013 |
| Mailing Telephone | 3237280131 |
| Mailing Fax Number | 3237252013 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2008-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | G49923 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
401 W BEVERLY BLVD |
| City | MONTEBELLO |
| State | CA |
| Zip Code | 90640-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144289646 | Luis Philip Nugent | Surgery | 401 W Beverly Blvd, Montebello, CA 90640 | 2006-03-22 |
| 1467902106 | Beverly Urgent Care Inc | Clinic/Center | 401 W Beverly Blvd, Montebello, CA 90640-3620 | 2016-10-06 |
| 1871789388 | Philip Nugent, Md, Inc | Surgery | 401 W Beverly Blvd, Montebello, CA 90640-3620 | 2007-09-18 |
| 1720154016 | Nugent Odou Gottlieb Medical Group | Surgery | 401 W Beverly Blvd, Montebello, CA 90640-3620 | 2006-11-28 |
| 1376619650 | Odou Medical Clinic, Inc. | Internal Medicine | 401 W Beverly Blvd, Montebello, CA 90640-3620 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242901 | Marie-christine Wiltord | Marriage & Family Therapist | 1447 W. Beverly Blvd., Montebello, CA 90640 | 2020-07-08 |
| 1366093668 | Ana Lesly Tavira-nava | Student in an Organized Health Care Education/Training Program | 3316 W. Beverly Blvd., Montebello, CA 90640 | 2019-09-27 |
| 1952803256 | America Alaniz | Marriage & Family Therapist | 3524 1/4 W. Beverly Blvd., Montebello, CA 90640 | 2018-03-02 |
| 1669987913 | Tender Loving Hospice Care, Inc. | Hospice Care, Community Based | 3528 W Beverly Blvd, Suite D, Montebello, CA 90640 | 2017-12-08 |
| 1518472869 | Healing Angels Nursing Services, Inc. | Home Health | 3538 W Beverly Blvd, Suite C, Montebello, CA 90640 | 2017-12-08 |
| 1427579143 | Paul Gonzales | Specialist/Technologist | 1525 Via Palermo, Montebello, CA 90640 | 2017-07-03 |
| 1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
| 1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1992165815 | Hope Artificial Limb & Brace,llc | Prosthetic/Orthotic Supplier | 2609 W. Beverly Blvd #3, Montebello, CA 90640 | 2016-03-04 |
| Find all providers in zip 90640 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255376968 | Krishna Narayanan | Surgery | 101 E Beverly Blvd Ste 306, Montebello, CA 90640-4316 | 2006-06-17 |
| 1144289646 | Luis Philip Nugent | Surgery | 401 W Beverly Blvd, Montebello, CA 90640 | 2006-03-22 |
| 1871789388 | Philip Nugent, Md, Inc | Surgery | 401 W Beverly Blvd, Montebello, CA 90640-3620 | 2007-09-18 |
| 1720154016 | Nugent Odou Gottlieb Medical Group | Surgery | 401 W Beverly Blvd, Montebello, CA 90640-3620 | 2006-11-28 |
| 1356438568 | Krishna Narayanan, M. D. Professional Corp | Surgery | 101 E Beverly Blvd, Suite 306, Montebello, CA 90640-4300 | 2006-10-07 |
| 1225138498 | Gustavo Adolfo Torres-cifuentes | Surgery | 120 S Montebello Blvd, Montebello, CA 90640-4730 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344321 | Sadeghi Medical Corporation | Surgery | 3871 Piedmont Ave # 105, Oakland, CA 94611-5378 | 2020-10-21 |
| 1295332823 | Vneo Medical Clinic Inc | Surgery | 6817 1/2 Kester Ave, Van Nuys, CA 91405-3716 | 2020-10-06 |
| 1619584497 | Prohealth Partners A Medical Group | Surgery | 3628 E Imperial Hwy Ste 303, Lynwood, CA 90262-2646 | 2020-09-25 |
| 1235744004 | Yvette Speight Md Inc | Surgery | 433 N Doheny Dr, Beverly Hills, CA 90210-5734 | 2020-09-09 |
| 1538786900 | Tdwo Inc | Surgery | 57445 29 Palms Hwy Ste 301, Yucca Valley, CA 92284-2947 | 2020-07-01 |
| 1003439746 | Howard Takiff | Surgery | 760 La Canada St, La Jolla, CA 92037-6724 | 2020-05-27 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1497380638 | Bay Area Medical and Surgical Group, Inc. | Surgery | 490 Post St Ste 530, San Francisco, CA 94102-1412 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
| City | MONTEBELLO |
| Zip Code | 90640 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.