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Individual

EDAN YODFAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 S WELLS RD, CLINICAS DEL CAMINO REAL, VENTURA, CA 93004-1377
(805) 659-1740
Mailing address
58 FAIRVIEW AVE, CLOSTER, NJ 07624-1104
(805) 659-1740

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A116190
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/11/2007
Last updated
07/19/2016
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