JEROME PRUDENCIO JR.

Technician, Other

Active Individual
NPI: 1669082434

Practice Address

145 S FAIRFAX AVE FL 2
Los Angeles, CA 90036

Phone: (310) 502-8089

Specialties

Specialty Code Primary License
Technician, Other 247200000X Yes -

Frequently Asked Questions

NPI 1669082434 is the National Provider Identifier for JEROME PRUDENCIO JR., a Technician, Other provider located in Los Angeles, CA. This NPI was enumerated on August 5, 2020.
JEROME PRUDENCIO JR. practices at 145 S FAIRFAX AVE FL 2, Los Angeles, CA 90036.

Quick Facts

NPI
1669082434
Type
Individual
Enumerated
Aug 5, 2020
Last Updated
Sep 9, 2025

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