Organization
JEROLD T. LITOFF, A PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROLD LITOFF M.D. (OFFICER)
(818) 706-1235
Entity
Organization
Contact information
Practice address
29525 CANWOOD ST, SUITE 107, AGOURA HILLS, CA 91301-4233
(818) 706-1235
(818) 706-2378
Mailing address
29525 CANWOOD ST, SUITE 107, AGOURA HILLS, CA 91301-4233
(818) 706-1235
(818) 706-2378
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
A29343
CA
207X00000X
Orthopaedic Surgery Physician
A29343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A293430
—
CA
Enumeration date
08/31/2007
Last updated
09/17/2007
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