Individual
MR. EDWARD J JAHNKE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S BUENA VISTA ST, BURBANK, CA 91505-4809
(818) 847-6983
Mailing address
4100 GUARDIAN ST, STE 205, SIMI VALLEY, CA 93063-6717
(805) 522-5940
(805) 577-2018
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G46668
CA
Other
Enumeration date
07/12/2006
Last updated
04/01/2015
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