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NPI Code Detail

MEDICARE: MS. JODI PEARL KIRSCH M.S.

MEDICARE: MS. JODI PEARL KIRSCH M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1487633301
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JODI PEARL KIRSCH M.S.
Provider Business Mailing Address
First Line : 5601 DE SOTO AVE
Second Line : THIRD FLOOR--OB/GYN A
City : WOODLAND HILLS
State : CA
Zip : 91367-6701
Country : US
Telephone Number : 818-719-3367
Fax Number : 818-719-2566
Provider Business Practice Location Address
First Line : 5601 DE SOTO AVE
Second Line : THIRD FLOOR--OB/GYN A
City : WOODLAND HILLS
State : CA
Zip : 91367-6701
Country : US
Telephone Number : 818-719-3367
Fax Number : 818-719-2566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 11/24/2021

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