Nugent Odou Gottlieb Medical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G49923 Issued in CA

Legal business name

NUGENT ODOU GOTTLIEB MEDICAL GROUP

Practice address

401 W Beverly Blvd
Montebello, CA 90640-3620

Phone

(323) 728-0131

Fax

(323) 725-2013

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Greg Murphy

Title

Manager

Phone

(323) 728-0131

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark William Odou, MD

  • Surgery Physician
  • Montebello, CA
  • NPI 1700845294
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1720154016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403620",
            "telephone_number": "323-728-0131",
            "fax_number": "323-725-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403620",
            "telephone_number": "323-728-0131",
            "fax_number": "323-725-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUGENT ODOU GOTTLIEB MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-728-0131"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G49923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin NG
• Thien T Nguyen, O.D.
• Sandra Nieto, MD
• Nightingale'S Light Hospice Care, Inc.
• Noushin Adhami Dental Corporation
• Luis Philip Nugent, MD
• Maria E Nunez
• Nutrition Care Consulting
• Ciara O'Brien
• Taylor Ann Oberlander, RN

• Surgery Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.