Ernest Louis Prudente MD

NPI 1033136510 - Internal Medicine - 207R00000X

NPI Details
NPI 1033136510
Gender Male
Enumeration Date 07/17/2006
Last Updated 01/26/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
2121 WILSHIRE BLVD
#306
SANTA MONICA CA, 90403, US
Phone (310) 829-7762
Fax (310) 447-9972
Business Location
2121 WILSHIRE BLVD
#304
SANTA MONICA CA, 90403, US
Phone (310) 264-0065
Fax (310) 829-0765
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A70659
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According to our database, Ernest Louis Prudente MD NPI is 1033136510, taxonomy code is 207R00000X and license number is A70659, license state is located at California. Ernest Louis Prudente MD physically located at 2121 Wilshire Blvd, Santa Monica CA, 90403. NPI Number Ernest Louis Prudente MD has the Individual type.

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1033136510 NPI number is provided on an as is basis without warranty of any kind. 1033136510 is maintained by the National Plan & Provider Enumeration System. The contents of Ernest Louis Prudente MD are for informational purposes only.