Zidow, Jennifer Sarah
Zidow, Jennifer Sarah is an sole proprietor health care provider with primary practice located at 1770 E 118Th St , Los Angeles CA 90059-2518. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Zidow, Jennifer Sarah can be contacted via phone (323) 249-2950.Contact Information
Primary practice address
1770 E 118Th St
Los Angeles CA 90059-2518
Phone: (323) 249-2950
Fax: (323) 249-2970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | 191593453 | California |
Profile Details
| NPI number | 1740534858 |
|---|---|
| LBN Legal business name | Zidow, Jennifer Sarah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2012 |
| Last updated | Oct 29th, 2012 - about 12 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 | 1740534858 | NPPES |
| California | Other | 01245407 | MEDICAL |
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