Organization
JERROLD DREYER, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERROLD DREYER M.D. (PRESIDENT)
(818) 784-3615
Entity
Organization
Contact information
Practice address
4849 VAN NUYS BLVD, SUITE 105, SHERMAN OAKS, CA 91403-2110
(818) 784-3615
(818) 905-0130
Mailing address
4849 VAN NUYS BLVD, SUITE 105, SHERMAN OAKS, CA 91403-2110
(818) 784-3615
(818) 905-0130
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G311610
—
CA
Enumeration date
01/27/2010
Last updated
02/24/2010
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