Organization
JENNIFER AHDOUT MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER N AHDOUT (ADMINISTRATOR)
(310) 995-1557
Entity
Organization
Contact information
Practice address
1057 SELBY AVE, LOS ANGELES, CA 90024-3105
(310) 995-1557
Mailing address
PO BOX 67779, LOS ANGELES, CA 90067-0779
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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