MEDICARE: DR. RONALD MARK PODELL M.D,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	G32378	CA

General Provider Information

NPI Number	:	1891729042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD MARK PODELL M.D,

Provider Business Mailing Address
First Line	:	11835 W OLYMPIC BLVD
Second Line	:	SUITE 220 EAST
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-5001
Country	:	US
Telephone Number	:	310-312-1013
Fax Number	:	310-312-1014

Provider Business Practice Location Address
First Line	:	11835 W OLYMPIC BLVD
Second Line	:	SUITE 220 EAST
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-5001
Country	:	US
Telephone Number	:	310-312-1013
Fax Number	:	310-312-1014

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	09/06/2013

Similar Medicare Providers

1528921210 — EPIC FAMILY THERAPY, PC
Practice Location Address:

11835 W OLYMPIC BLVD STE 405
LOS ANGELES, CA
90064-5001

Practice Phone: 310-684-3134
Practice Fax:

1942284989 — JULIA HOBBS SPEECH PATHOLOGY, INC.
Practice Location Address:

11835 W OLYMPIC BLVD , #300
LOS ANGELES, CA
90064-5001

Practice Phone: 310-996-8900
Practice Fax: 310-996-8909

1447321666 — LORI RUBENSTEIN PHYSICAL THERAPY, INC
Practice Location Address:

11835 W OLYMPIC BLVD , SUITE 135E
LOS ANGELES, CA
90064-5001

Practice Phone: 310-401-6410
Practice Fax:

1427129642 — LORI RUBENSTEIN FAZZIO PT
Practice Location Address:

11835 W OLYMPIC BLVD , SUITE 135E
LOS ANGELES, CA
90064-5001

Practice Phone: 310-401-6410
Practice Fax: 310-312-3637

1609941558 — MR. CHARLES KOGON MFT
Practice Location Address:

11835 W OLYMPIC BLVD , STE 725
LOS ANGELES, CA
90064-5001

Practice Phone: 310-477-8161
Practice Fax:

1275670036 — EXECUTIVE MENTAL HEALTH, INC.
Practice Location Address:

11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA
90064-5001

Practice Phone: 310-273-4843
Practice Fax: 310-273-5056

Directions to “ DR. RONALD MARK PODELL M.D,” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.