Cornelia B. Odell, M.D.,Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A76154 Issued in CA

Legal business name

CORNELIA B. ODELL, M.D.,INC

Practice address

675 S Arroyo Pkwy
Suite# 410
Pasadena, CA 91105-3263

Phone

(626) 405-1035

Fax

(626) 405-1036

NPI assigned

Apr 13, 2009

Last updated

Apr 13, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marina Rivera

Title

Director of Billing Operations

Phone

(626) 757-2269

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1073756557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50687",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911150687",
            "telephone_number": "626-405-1035",
            "fax_number": "626-405-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S ARROYO PKWY",
            "address_2": "SUITE# 410",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053263",
            "telephone_number": "626-405-1035",
            "fax_number": "626-405-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELIA B. ODELL, M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING OPERATIONS",
        "authorized_official_telephone_number": "626-757-2269"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H65960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Krysta Coromelas
• Lorena Corona Romero

• Internal Medicine Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.