Ruderman, Jeanne Wendy

Ruderman, Jeanne Wendy is an individual health care provider with primary practice located at 18321 Clark St , Tarzana CA 91356-3501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Ruderman, Jeanne Wendy can be contacted via phone (818) 708-5466.

Contact Information

Primary practice address
18321 Clark St Tarzana CA 91356-3501
Phone: (818) 708-5466
Fax: (818) 708-5266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X G40371 California

Profile Details

NPI number 1407804289
LBN Legal business name Ruderman, Jeanne Wendy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jun 27th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407804289 NPPES
California MEDICAID 00G403710

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