JEROLD T. LITOFF A PROFESSIONAL CORP. NPI 1174717227

NPI Information

NPI: 1174717227
Provider Name: JEROLD T. LITOFF, A PROFESSIONAL CORP.
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
29525 CANWOOD ST
SUITE 107
AGOURA HILLS, CA
ZIP 91301
Phone: (818) 706-1235
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JEROLD T. LITOFF, A PROFESSIONAL CORP. is a neuromusculoskeletal medicine sports medicine in Agoura Hills, CA. The provider is definition to come. JEROLD T. LITOFF, A PROFESSIONAL CORP. NPI is 1174717227. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

29525 CANWOOD ST
SUITE 107
AGOURA HILLS, CA
ZIP 91301-233
Phone: (818) 706-1235
Fax: (818) 706-2378

The provider's authorized official is Jerold Litoff .
The authorized official title is Officer and has the following contact phone number (818) 706-1235.

The enumeration date for this NPI number is 8/31/2007 and was last updated on 9/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207X00000X	Orthopaedic Surgery		A29343	CALIFORNIA	No
2	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		A29343	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A25723	MEDICARE UPIN	CALIFORNIA
2	00A293430	MEDICAID	CALIFORNIA
3	A29343	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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