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DR. JENNIFER AHDOUT M.D.
>> Dermatology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1356571897
Individual Registrant:DR. JENNIFER AHDOUT M.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
450 N ROXBURY DR STE 400 BEVERLY HILLS, CA 90210-4218 US
Tel: 424-394-1610 Fax: 424-394-1628
Tel: 424-394-1610 Fax: 424-394-1628
Contact information for business:
450 N ROXBURY DR STE 400 BEVERLY HILLS, CA 90210-4218 US
Tel: 424-394-1610 Fax: 424-394-1628
Tel: 424-394-1610 Fax: 424-394-1628
Registration Information:
NPI: 1356571897
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207N00000X | Allopathic & Osteopathic Physicians Dermatology | CA | 115046 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
