Bodak, Eunice Jenny
Bodak, Eunice Jenny is an sole proprietor health care provider with primary practice located at 1220 5Th Ave , Los Angeles CA 90019-3445. She recently has only one registered license in Nursing Service Related Providers / Adult Companion, which is considered as her primary health care specialty. Bodak, Eunice Jenny can be contacted via phone (310) 780-7697.Contact Information
Primary practice address
1220 5Th Ave
Los Angeles CA 90019-3445
Phone: (310) 780-7697
Fax: (310) 371-1249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Adult Companion | 372600000X | 522662 | California |
Profile Details
| NPI number | 1184938375 |
|---|---|
| LBN Legal business name | Bodak, Eunice Jenny |
| Credentials | HCPD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2010 |
| Last updated | Oct 8th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184938375 | NPPES |
| California | MEDICAID | 372600000X |
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