# JEROME DICKMAN, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144494261
- **Authorized official:** DR. JEROME DICKMAN M.D. (PRESIDENT)
- **Authorized official phone:** (818) 340-3444

## Contact information

- **Practice address:** 7345 MEDICAL CENTER DR, SUITE 510, WEST HILLS, CA 91307-1910
- **Practice address phone:** (818) 340-3444
- **Practice address fax:** (818) 340-1444
- **Mailing address:** 7345 MEDICAL CENTER DR, SUITE 510, WEST HILLS, CA 91307-1910
- **Mailing address phone:** (818) 340-3444
- **Mailing address fax:** (818) 340-1444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2008
- **Last updated:** 05/16/2008