SearchCaliforniaOther Technician

Jerome Prudencio

NPI 1669082434 · on the registry since 2020

Practice

Address
145 S Fairfax Ave Fl 2
Los Angeles, CA 90036
Phone
(310) 502-8089
Organisation at this address
Kbs Medical California Pc
Kbs Medical California Pc
Marn Dds Dental Practice P.C.
Socal Behavioral Health Solutions Llc
John Blakes Cranial Prosthetics And Hair, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Registry record

Primary taxonomy
Other Technician
247200000X
Sex
Male
Record last updated
2025-09-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California