Odom, Irene H

Odom, Irene H is an individual health care provider with primary practice located at 9961 Sierra Ave , Fontana CA 92335-6720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Odom, Irene H can be contacted via phone (909) 427-5451.

Contact Information

Primary practice address
9961 Sierra Ave Fontana CA 92335-6720
Phone: (909) 427-5451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 132491 California

Profile Details

NPI number 1033553482
LBN Legal business name Odom, Irene H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2013
Last updated Dec 2nd, 2021 - about 5 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.

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