Davidorf, Jonathan M
Davidorf, Jonathan M is an sole proprietor health care provider with primary practice located at 7320 Woodlake Ave Suite 190, West Hills CA 91307-1468. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Davidorf, Jonathan M can be contacted via phone (818) 883-0112.Contact Information
Primary practice address
7320 Woodlake Ave Suite 190
West Hills CA 91307-1468
Phone: (818) 883-0112
Fax: (818) 883-2767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G77298 | California |
Profile Details
| NPI number | 1023105160 |
|---|---|
| LBN Legal business name | Davidorf, Jonathan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Oct 28th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023105160 | NPPES |
| California | MEDICAID | 00G772980 |
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