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Contact Information

KEVIN Y ODA, PA-C
1115 S SUNSET AVE
WEST COVINA, CA91790
 Phone: 626-962-4011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KEVIN Y ODA · (Male)

NPI Number 1316584477
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/06/2019
Last updated 05/19/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA57562
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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