Organization
SHERRY F YUDELL M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRY F YUDELL M.D. (OWNER)
(818) 991-0209
Entity
Organization
Contact information
Practice address
17609 VENTURA BLVD, SUITE 114, ENCINO, CA 91316-5119
(818) 991-0209
(888) 340-0712
Mailing address
PO BOX 55152, VALENCIA, CA 91385-0152
(661) 298-7423
(661) 298-7423
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G70002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G700020
—
CA
Enumeration date
07/10/2006
Last updated
08/26/2014
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