Jay D. Pruetz
M.D. | Pediatrics | Male
Jay D. Pruetz, M.D. is a Los Angeles, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jay D. Pruetz is
4650 W Sunset Blvd, Los Angeles, California - 90027-6062. He can be contacted on phone at
323-361-2461.
Jay D. Pruetz is a sole proprietor of his business.
NPI number (Unique professional ID) for Jay D. Pruetz is
1790771053 which was assigned by NPPES on 22 Sep, 2005 and it was last updated on 29 Jul, 2011.
Jay D. Pruetz license number is
A81000 for Pediatrics (208000000X) in California.
Jay D. Pruetz is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jay D. Pruetz basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jay D. Pruetz |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Jay D. Pruetz address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4650 W Sunset Blvd
Los Angeles, CA, 90027-6062
United States |
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| Phone Number : | 323-361-2461 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790771053 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Sep, 2005 |
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| Last Updated On : | 29 Jul, 2011 |
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Medicare Participation:
Jay D. Pruetz participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7618938556 |
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| Medicare Enrollment ID : | I20041022001137 |
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| Primary Specialty : | Cardiovascular Disease (cardiology) |
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| Medical School : | University Of California, Geffen School Of Medicine |
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| Graduation Year : | 1996 |
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| Accepts Medicare? | Yes. Jay D. Pruetz accepts medicare insurance. |
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Group Practice Association:
Jay D. Pruetz is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jay D. Pruetz is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Childrens Hospital Los Angeles Medical Group Inc | 0143126920 | 163 | 4650 W Sunset Blvd
Los Angeles, CA - 900276062
Ph: 3233618408 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jay D. Pruetz are as mentioned. Primary taxonomy code for Jay D. Pruetz, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | A81000 | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4650 W Sunset Blvd
Los Angeles, CA, 90027-6062
United States |
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| Phone Number : | 323-361-2461 |
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| Fax Number : | 323-361-1513 |
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Business Location:
Patients can refer following map for directions to
Jay D. Pruetz practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.