Provider Demographics
NPI:1356653927
Name:AMENT, JARED D (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JARED
Middle Name:D
Last Name:AMENT
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:7320 WOODLAKE AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1468
Mailing Address - Country:US
Mailing Address - Phone:800-899-0101
Mailing Address - Fax:310-870-8677
Practice Address - Street 1:7320 WOODLAKE AVE STE 215
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1468
Practice Address - Country:US
Practice Address - Phone:800-899-0101
Practice Address - Fax:310-870-8677
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2020-03-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA122608207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery