Organization
JAY C. MORTIMER, MD, A MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY C. MORTIMER MD (OWNER)
(818) 995-8766
Entity
Organization
Contact information
Practice address
4419 VAN NUYS BLVD, SUITE 405, SHERMAN OAKS, CA 91403-2910
(818) 995-8766
Mailing address
4419 VAN NUYS BLVD, SUITE 405, SHERMAN OAKS, CA 91403-2910
(818) 995-8766
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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