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 provides Dermatology Physician services 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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