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Individual

DR. JEROLD THOMAS LITOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2925 N. SYCAMORE DRIVE, SUITE 202, SIMI VALLEY, CA 93065-1208
(805) 527-3222
(805) 582-2651
Mailing address
2925 N. SYCAMORE DRIVE, SUITE 202, SIMI VALLEY, CA 93065-1208
(805) 527-3222
(805) 582-2651

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
A29343
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A293430
CA
Enumeration date
02/23/2006
Last updated
08/01/2008
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