Odyssey Medical Group

LBN: Odyssey Medical Group
Odyssey Medical Group is an health care organization with primary practice located at 4832 Lincoln Blvd , Marina Del Rey CA 90292-6917. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Odyssey Medical Group can be contacted via phone (310) 821-7658, or through Glenn, Marica via phone (310) 821-7658.

Contact Information

Primary practice address
4832 Lincoln Blvd Marina Del Rey CA 90292-6917
Phone: (310) 821-7658
Fax: (310) 821-1708
Website:
Map and Directions
Authorized official contact:
Name: Glenn, Marica Doctor of Medicine (MD)
Phone: (310) 821-7658

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E4238 California
Other Service Providers / Specialist 174400000X G79180 California
Other Service Providers / Specialist 174400000X C35069 California
Other Service Providers / Specialist 174400000X A96388 California

Profile Details

NPI number 1932320256
LBN Legal business name Odyssey Medical Group
DBA Doing business as
Authorized official Glenn, Marica Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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