Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G50887 | CA |
N | 111NI0900X | Internist | G50887 | CA |
N | 207RH0000X | Hematologist | G50887 | CA |
Y | 207RH0003X | Hematology & Oncology | G50887 | CA |
N | 207RX0202X | Medical Oncology | G50887 | CA |
NPI | 1316955230 |
---|---|
Provider Name | Ms. Margaret Odonnell |
First Address | South Pasadena, CA 91030-4928 |
Second Address | South Pasadena, CA 91030-4928 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 15/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G508870 | (05) | CA |
E92460 | (02) |