Provider Demographics
NPI:1487633301
Name:KIRSCH, JODI PEARL (MS)
Entity Type:Individual
Prefix:MS
First Name:JODI
Middle Name:PEARL
Last Name:KIRSCH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 DE SOTO AVE
Mailing Address - Street 2:THIRD FLOOR--OB/GYN A
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6701
Mailing Address - Country:US
Mailing Address - Phone:818-719-3367
Mailing Address - Fax:818-719-2566
Practice Address - Street 1:5601 DE SOTO AVE
Practice Address - Street 2:THIRD FLOOR--OB/GYN A
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6701
Practice Address - Country:US
Practice Address - Phone:818-719-3367
Practice Address - Fax:818-719-2566
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS