Healthcare Provider Details

I. General information

NPI: 1518070812
Provider Name (Legal Business Name): STEVEN J O'DAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 03/07/2023
Certification Date: 04/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 SANTA MONICA BLVD
SANTA MONICA CA
90404-2303
US

IV. Provider business mailing address

5315 TORRANCE BLVD SUITE A
TORRANCE CA
90503-4011
US

V. Phone/Fax

Practice location:
  • Phone: 310-829-8317
  • Fax: 310-315-6143
Mailing address:
  • Phone: 310-829-8371
  • Fax: 310-315-6143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA53519
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: