Doctor Name: | DR. JEREMY A CHOLFIN |
NPI Number: | 1376787424 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., PH.D. |
License Number: | |
Business Practice Address: | 19950 Rinaldi St Suite 300 Porter Ranch, CA - 913264141 |
Business Phone Number: | 8182712400 |
Business Fax Number: | 8182712401 |
Mailing Address: | 19950 Rinaldi St, Suite 300 PORTER RANCH |
State: | CA |
Postal Code: | 913264141 |
Phone Number: | 8182712400 |
Fax Number: | 8182712401 |
NPI Enumeration Date: | 04/20/2009 |
NPI Last Update Date: | 08/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |