Dr. Allan Boodnick

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

MFT 2015 Issued in CA

Legal business name

DR. ALLAN BOODNICK

Practice address

5301 Ladera Crest Dr
Los Angeles, CA 90056-1152

Phone

(310) 337-7200

NPI assigned

Apr 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Allan Boodnick

Title

MFT

Phone

(310) 337-7200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1699152850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 LADERA CREST DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561152",
            "telephone_number": "310-337-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LADERA CREST DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561152",
            "telephone_number": "310-337-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALLAN BOODNICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "BOODNICK",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "MFT",
        "authorized_official_telephone_number": "310-337-7200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "MFT 2015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.