Provider Demographics
NPI:1558499863
Name:SCHRODI, JANET Y (DMD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:Y
Last Name:SCHRODI
Suffix:
Gender:F
Credentials:DMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 S LAKE AVE
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-3540
Mailing Address - Country:US
Mailing Address - Phone:626-432-4250
Mailing Address - Fax:626-432-4270
Practice Address - Street 1:17411 CHATSWORTH ST STE 100
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-7612
Practice Address - Country:US
Practice Address - Phone:818-360-2131
Practice Address - Fax:818-831-4432
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA494071223P0221X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD49407OtherDENTI-CAL