Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAY D. PRUETZ, M.D.
ActiveJAY D. PRUETZ, M.D. is a Pediatric Cardiology healthcare provider located in LOS ANGELES, California. NPI 1790771053 is currently active in the NPPES registry. Verify at CMS.
Pediatric Cardiology · LOS ANGELES, CA
Registration Details
- NPI Number
- 1790771053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2005 (20.91039657317 yrs)
- Last Updated
- Oct 3, 2025
- Licenses
-
A81000 (CA)A81000 (CA)
Practice Information
- Address
-
4650 W SUNSET BLVDLOS ANGELES, CA, 900276062Browse CA providers · Browse ZIP 90027
- Phone
- 3233612461
- Primary Specialty
-
Pediatric Cardiology
2080P0202X
- Additional Specialty
- Pediatric Cardiology
Other Pediatric Cardiology Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL R RECTO | MD | 1013912674 |
| GARY MARK SATOU | MD | 1568463537 |
| DR. MAHNAZ TABIBIAN | MD | 1558348706 |
| MRS. RUCHIRA GARG | M.D | 1366416497 |
| DR. NANCY J HALNON | M.D. | 1215983614 |
| DR. JUAN CARLOS ALEJOS | M.D. | 1518993914 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.