Healthcare Provider Details

I. General information

NPI: 1073679130
Provider Name (Legal Business Name): IRA JEFFRY STRUMPF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19801 FALCON CREST WAY
PORTER RANCH CA
91326-4031
US

IV. Provider business mailing address

19801 FALCON CREST WAY
PORTER RANCH CA
91326-4031
US

V. Phone/Fax

Practice location:
  • Phone: 818-366-2030
  • Fax: 818-366-8504
Mailing address:
  • Phone: 818-366-2030
  • Fax: 818-366-8504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberG025838
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: