Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Ahdout MD, Inc

Organization Dermatology Physician · NPI 1366305914

Jennifer Ahdout MD, Inc is a Dermatology Physician in Los Angeles, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1057 Selby Ave
Los Angeles, CA 90024-3105
Phone: (310) 995-1557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1366305914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Ahdout — Administrator · (310) 995-1557
NPI enumeratedDecember 9, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing addressPo Box 67779, Los Angeles, CA 90067-0779

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