# JERROLD DREYER, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922339175
- **Authorized official:** JERROLD DREYER M.D. (PRESIDENT)
- **Authorized official phone:** (818) 784-3615

## Contact information

- **Practice address:** 4849 VAN NUYS BLVD, SUITE 105, SHERMAN OAKS, CA 91403-2110
- **Practice address phone:** (818) 784-3615
- **Practice address fax:** (818) 905-0130
- **Mailing address:** 4849 VAN NUYS BLVD, SUITE 105, SHERMAN OAKS, CA 91403-2110
- **Mailing address phone:** (818) 784-3615
- **Mailing address fax:** (818) 905-0130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2010
- **Last updated:** 02/24/2010
