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Individual

DR. JERROLD S. DREYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4849 VAN NUYS BLVD STE 105, SHERMAN OAKS, CA 91403-2121
(818) 784-3615
(818) 905-0130
Mailing address
4835 VAN NUYS BLVD STE 109, SHERMAN OAKS, CA 91403-2134
(818) 784-3615
(818) 905-0130

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G31161
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G311610
CA
Enumeration date
07/13/2006
Last updated
09/09/2015
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