| Jerrold Dreyer, M.d., Inc. | |
|
4849 Van Nuys Blvd Suite 105 Sherman Oaks CA 91403-2110 | |
| (818) 784-3615 | |
| (818) 905-0130 |
| Full Name | Jerrold Dreyer, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4849 Van Nuys Blvd, Sherman Oaks, California |
| Authorized Official Name and Position | Jerrold Dreyer (PRESIDENT) |
| Authorized Official Contact | 8187843615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerrold Dreyer, M.d., Inc. 4849 Van Nuys Blvd Suite 105 Sherman Oaks CA 91403-2110 Ph: (818) 784-3615 | Jerrold Dreyer, M.d., Inc. 4849 Van Nuys Blvd Suite 105 Sherman Oaks CA 91403-2110 Ph: (818) 784-3615 |
| NPI Number | 1922339175 |
|---|---|
| Provider Enumeration Date | 01/27/2010 |
| Last Update Date | 02/24/2010 |
| Medicare PECOS PAC ID | 5294879771 |
|---|---|
| Medicare Enrollment ID | O20100222000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922339175 | NPI | - | NPPES |
| 00G311610 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Jerrold S Dreyer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316962756 PECOS PAC ID: 7214071794 Enrollment ID: I20100222000556 |
| Provider Name | Nigiar Ismail-zade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467733360 PECOS PAC ID: 7517138894 Enrollment ID: I20110916000202 |
| Provider Name | Layli Jamali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598059644 PECOS PAC ID: 8123266046 Enrollment ID: I20161013001222 |
Gary Schneider D O Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4835 Van Nuys Blvd Ste 109, Sherman Oaks, CA 91403 Phone: 818-905-9586 Fax: 818-905-0130 | |
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