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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, IncInferred 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