Elisha, Jacob
Elisha, Jacob is an sole proprietor health care provider with primary practice located at 11600 Wilshire Blvd Ste 504 , Los Angeles CA 90025-1788. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Elisha, Jacob can be contacted via phone (310) 231-5100.Contact Information
Primary practice address
11600 Wilshire Blvd Ste 504
Los Angeles CA 90025-1788
Phone: (310) 231-5100
Fax: (310) 231-0024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 36239 | California |
Profile Details
| NPI number | 1144591462 |
|---|---|
| LBN Legal business name | Elisha, Jacob |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2012 |
| Last updated | Jan 18th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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