| Doctor Name: | DR. DAVID F BODE |
| NPI Number: | 1306895990 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | C30670 |
| Business Practice Address: | 1135 S Sunset Ave Ste 100 West Covina, CA - 917903937 |
| Business Phone Number: | 6268562215 |
| Business Fax Number: | 6269602125 |
| Mailing Address: | 777 Flower St Ste A, GLENDALE |
| State: | CA |
| Postal Code: | 912013000 |
| Phone Number: | 8186372000 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2006 |
| NPI Last Update Date: | 09/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | C30670 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |