Individual
MS. JODI R LADGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
444 S SAN VICENTE BLVD, #800, LOS ANGELES, CA 90048-4165
(310) 423-9900
(310) 423-9767
Mailing address
444 S SAN VICENTE BLVD, #800, LOS ANGELES, CA 90048-4165
(310) 423-9900
(310) 423-9767
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA15815
CA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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