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MIKAELA W ODOM
NPI 1053044495
Student in an Organized Health Care Education/Training Program in Culver City, CA

Active since July 04, 2022
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230(310) 390-6612 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2024, Jul 17, 2024, Jul 4, 2022 (3 updates tracked since 2022).

About Mikaela W Odom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKAELA W ODOM (NPI 1053044495) is an individual student in an organized health care education/training program in Culver City, California and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1053044495
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIKAELA W ODOM
Location Address4760 SEPULVEDA BLVDCulver City, CA 90230-4820
Mailing Address323 N Prairie AveInglewood, CA 90301-4502
Phone(310) 390-6612
Sole ProprietorYes
Enumeration DateJuly 4, 2022
Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1053044495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4760 SEPULVEDA BLVD, Culver City, CA 90230
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERONICA FUENTES
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
ANDREW R MILLER MFT
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
PAUL SMITH MSW, ACSW
Social Worker
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
CHELSEA DAWN GILBERT M.A.
Student in an Organized Health Care Education/Training Program
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 751-5344
RASHAUNA FAIR
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
KIMBERLY OROZCO
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
ALFREDIA RAYNESHIA CHRISTOPHE
Day Training/Habilitation Specialist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
JESSICA AYALA
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 751-5470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mikaela Odom's NPI number?

The NPI number for Mikaela Odom is 1053044495. It was assigned to this individual provider in the NPPES registry on July 4, 2022.

Where is Mikaela Odom located?

Mikaela Odom practices at 4760 Sepulveda Blvd, Culver City, CA 90230. The listed phone number is (310) 390-6612.

What is Mikaela Odom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mikaela Odom was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.