Individual
JENNIFER LYN MEHDIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18370 BURBANK BLVD, SUITE 407, TARZANA, CA 91356-2804
(818) 996-4242
(818) 996-4352
Mailing address
18370 BURBANK BLVD, SUITE 407, TARZANA, CA 91356-2804
(818) 996-4242
(818) 996-4352
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
A85757
CA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
A85757
CA
Other
Enumeration date
03/12/2007
Last updated
12/03/2024
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