Provider Demographics
NPI:1376744201
Name:KADOVITZ, JANA LEE (LAC , DIPL AC)
Entity Type:Individual
Prefix:MS
First Name:JANA
Middle Name:LEE
Last Name:KADOVITZ
Suffix:
Gender:F
Credentials:LAC , DIPL AC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:21427 DUMETZ RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-4336
Mailing Address - Country:US
Mailing Address - Phone:818-378-0302
Mailing Address - Fax:818-883-9133
Practice Address - Street 1:21731 VENTURA BLVD
Practice Address - Street 2:SUITE 360
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1845
Practice Address - Country:US
Practice Address - Phone:818-704-7403
Practice Address - Fax:818-883-9133
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC 7409171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist