ANTHONY BODLOVIC

LOS ANGELES, CA
NPI1366600454
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-05-27
Last Update Date2008-05-27
Business Address
-- ANTHONY BODLOVIC
12420 VENICE BLVD 200
LOS ANGELES, CA 90066-3840
Phone number: 310-751-1200
Mailing Address
-- ANTHONY BODLOVIC
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: