Individual
JEFFREY CLEVE NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
14106 VENTURA BLVD STE 101, SHERMAN OAKS, CA 91423-2751
(818) 990-8771
(818) 990-0467
Mailing address
14106 VENTURA BLVD STE 101, SHERMAN OAKS, CA 91423-2751
(818) 990-8771
(818) 990-0467
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9060T
CA
Other
Enumeration date
02/17/2007
Last updated
07/08/2007
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