Individual
DR. JEANNE WENDY RUDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(818) 708-5466
(818) 708-5266
Mailing address
18321 CLARK ST, TARZANA, CA 91356-3501
(818) 708-5466
(818) 708-5266
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
G40371
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G403710
—
CA
Enumeration date
05/04/2006
Last updated
06/27/2015
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