Healthcare Provider Details

I. General information

NPI: 1811552359
Provider Name (Legal Business Name): ODELIA HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2019
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 UNIVERSITY BLVD NE
ALBUQUERQUE NM
87102-1708
US

IV. Provider business mailing address

4525 WILSHIRE BLVD STE 210
LOS ANGELES CA
90010-3846
US

V. Phone/Fax

Practice location:
  • Phone: 505-243-2257
  • Fax:
Mailing address:
  • Phone: 323-405-3399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVID GARETZ
Title or Position: CFO
Credential:
Phone: 213-395-1848