Provider Demographics
NPI: | 1093126336 |
---|---|
Name: | O'DOWD, JAMES ANDREW (MD) |
Entity type: | Individual |
Prefix: | |
First Name: | JAMES |
Middle Name: | ANDREW |
Last Name: | O'DOWD |
Suffix: | |
Gender: | M |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 1200 NORTH STATE STREET |
Mailing Address - Street 2: | GNH 3900 ORTHOPEDIC SURGERY |
Mailing Address - City: | LOS ANGELES |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 90033 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 323-226-7204 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 800 S RAYMOND AVE |
Practice Address - Street 2: | |
Practice Address - City: | PASADENA |
Practice Address - State: | CA |
Practice Address - Zip Code: | 91105-3229 |
Practice Address - Country: | US |
Practice Address - Phone: | 626-795-8051 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2014-05-08 |
Last Update Date: | 2024-07-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | A138430 | 207X00000X, 207XS0114X |
CA | 390200000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207XS0114X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery |
No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
No | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |