# JEROLD T. LITOFF, A PROFESSIONAL CORP.

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

## Provider details

- **NPI number:** 1174717227
- **Authorized official:** JEROLD LITOFF M.D. (OFFICER)
- **Authorized official phone:** (818) 706-1235

## Contact information

- **Practice address:** 29525 CANWOOD ST, SUITE 107, AGOURA HILLS, CA 91301-4233
- **Practice address phone:** (818) 706-1235
- **Practice address fax:** (818) 706-2378
- **Mailing address:** 29525 CANWOOD ST, SUITE 107, AGOURA HILLS, CA 91301-4233
- **Mailing address phone:** (818) 706-1235
- **Mailing address fax:** (818) 706-2378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | A29343 | CA | Yes |
| 207X00000X | Orthopaedic Surgery Physician | A29343 | CA | — |

## Other

- **Enumeration date:** 08/31/2007
- **Last updated:** 09/17/2007