Provider Demographics
NPI:1205924180
Name:ARONSON, JODY B (MD)
Entity type:Individual
Prefix:MRS
First Name:JODY
Middle Name:B
Last Name:ARONSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3440 LOMITA BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4801
Mailing Address - Country:US
Mailing Address - Phone:310-325-8864
Mailing Address - Fax:310-325-1493
Practice Address - Street 1:3440 LOMITA BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4801
Practice Address - Country:US
Practice Address - Phone:310-325-8864
Practice Address - Fax:310-325-1493
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2015-01-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG56720207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA93451Medicare UPIN
CAW13862Medicare ID - Type UnspecifiedMEDICARE