Search › California › 106S00000X
Jason Odenthal
NPI 1053064964 · on the registry since 2022
Practice
- Address
- 1425 N Mcdowell Blvd Ste 206
Petaluma, CA 94954 - Phone
- (855) 223-7123
- Fax
- (619) 550-6368
- Organisation at this address
- Senior Resources Of The West
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 179
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California