Ozohan, Mary Lou

Ozohan, Mary Lou is an individual health care provider with primary practice located at 5522 Sepulveda Blvd , Sherman Oaks CA 91411-3437. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Ozohan, Mary Lou can be contacted via phone (818) 997-1522.

Contact Information

Primary practice address
5522 Sepulveda Blvd Sherman Oaks CA 91411-3437
Phone: (818) 997-1522
Fax: (818) 997-0705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A23566 California
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X A23566 California

Profile Details

NPI number 1609859412
LBN Legal business name Ozohan, Mary Lou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Jun 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609859412 NPPES
California MEDICAID 00A235660

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