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DR. JACOB ELISHA D.D.S. NPI 1144591462


NPI Profile

NPI: 1144591462
Provider Name: DR. JACOB ELISHA, D.D.S.
Classification:Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
11600 WILSHIRE BLVD STE 504
LOS ANGELES, CA
ZIP 90025
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Phone: (310) 231-5100

DR. Jacob Elisha, D.D.S. is a periodontics dentist in Los Angeles, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Jacob Elisha, D.D.S. NPI is 1144591462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11600 WILSHIRE BLVD STE 504
LOS ANGELES, CA
ZIP 90025-788
Phone: (310) 231-5100
Fax: (310) 231-0024

The enumeration date for this NPI number is 1/18/2012 and was last updated on 1/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodontics36239CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/7/2021

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