DR. JENNIFER AHDOUT (NPI# 1356571897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356571897 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER AHDOUT |
| Credential | M.D. |
| Practice Address |
450 N Roxbury Dr Ste 400 Beverly Hills CA 90210-4218 |
| Practice Telephone | 4243941610 |
| Practice Fax Number | 4243941628 |
| Mailing Telephone | 4243941610 |
| Mailing Fax Number | 4243941628 |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2017-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 115046 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
450 N ROXBURY DR STE 400 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255382826 | Deborah J Frutkin | Nurse Anesthetist, Certified Registered | 450 N Roxbury Dr, Suite 600, Beverly Hills, CA 90210-4232 | 2006-05-16 |
| 1942759154 | Vanessa Gabrovsky Cuellar Md Inc | Clinic/Center | 450 N Roxbury Dr, 3rd Floor, Beverly Hills, CA 90210-4231 | 2016-09-28 |
| 1225586407 | Robert Paul Zimmerman Md Professional Corporation | Radiology | 450 N Roxbury Dr, Suite 600, Beverly Hills, CA 90210-4231 | 2016-09-15 |
| 1043677339 | Mary Bevens Goodman | Nurse Practitioner | 450 N Roxbury Dr, Suite #500, Beverly Hills, CA 90210-4231 | 2016-01-19 |
| 1427446012 | California Center for Pelvic Floor Disorders Inc | Urology | 450 N Roxbury Dr, Suite 500, Beverly Hills, CA 90210-4231 | 2015-01-05 |
| 1699101097 | David J. Soomekh Dpm, A Professional Corporation | Podiatrist | 450 N Roxbury Dr, Suite 200, Beverly Hills, CA 90210-4231 | 2013-09-18 |
| 1275967648 | Nilesh Patel Do Inc | Anesthesiology | 450 N Roxbury Dr, Beverly Hills, CA 90210-4231 | 2013-08-21 |
| 1205274537 | Beverly Hills Hernia Center | Surgery | 450 N Roxbury Dr, Suite 224, Beverly Hills, CA 90210-4231 | 2013-06-09 |
| 1891131280 | Pacific Pelvic Pain Center A Medical Corporation | Anesthesiology | 450 N Roxbury Dr, Beverly Hills, CA 90210-4231 | 2013-05-13 |
| 1114265519 | Precision Ambulatory Surgery Center LLC | Clinic/Center | 450 N Roxbury Dr, Suite 250, Beverly Hills, CA 90210-4231 | 2013-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179065 | Roxbury Dermatology and Multispecialty Practice Inc | Dermatology | 450 N Roxbury Dr Ste 410, Beverly Hills, CA 90210-4231 | 2018-10-04 |
| 1689189854 | Radiant Dermatology, Inc. | Dermatology | 421 N Rodeo Dr Ste T7, Beverly Hills, CA 90210-4531 | 2017-12-09 |
| 1174965016 | Jasmine Obioha | Dermatology | 99 N La Cienega Blvd Ste 202, Beverly Hills, CA 90211-2285 | 2013-07-19 |
| 1760736995 | Steven Fisher Rabens | Dermatology | 213 S Palm Dr, Beverly Hills, CA 90212-3515 | 2012-11-09 |
| 1578896247 | Tsippora Shainhouse | Dermatology | 239 S La Cienega Blvd Ste 200, Beverly Hills, CA 90211-3319 | 2009-09-14 |
| 1912164872 | Jason J Emer | Dermatology | 435 N. Bedford Dr., Suite 312, Beverly Hills, CA 90212-2107 | 2008-05-19 |
| 1093833709 | Ladan Shahabi | Dermatology | 8641 Wilshire Blvd Ste 115, Beverly Hills, CA 90211 | 2007-03-27 |
| 1689720278 | Lisa Chipps | Dermatology | 421 N Rodeo Dr # T7, Beverly Hills, CA 90210-4500 | 2007-01-26 |
| 1124120902 | Michael T Bontekoe | Dermatology | 450 N Roxbury Dr Ste 400, Beverly Hills, CA 90210-4218 | 2006-09-02 |
| 1649388109 | Stuart Harris Kaplan | Dermatology | 435 N Roxbury Dr Ste 210, Beverly Hills, CA 90210-5004 | 2006-08-26 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.