Individual
ADAM JACOB KREITENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18386 VENTURA BLVD, TARZANA, CA 91356-4219
(818) 996-4077
(818) 996-4069
Mailing address
18386 VENTURA BLVD, TARZANA, CA 91356-4219
(818) 996-4077
(818) 996-4069
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A122216
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB236088
MEDICARE ID
CA
Enumeration date
02/24/2012
Last updated
01/09/2023
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