Shadi, Jonathan R.
Shadi, Jonathan R. is an individual health care provider with primary practice located at 12300 Wilshire Blvd Ste 326, Los Angeles CA 90025. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Shadi, Jonathan R. can be contacted via phone (310) 954-9449.Contact Information
Primary practice address
12300 Wilshire Blvd Ste 326
Los Angeles CA 90025
Phone: (310) 954-9449
Fax: (310) 954-9470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 58812 | California |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 58812 | California |
Profile Details
| NPI number | 1528294709 |
|---|---|
| LBN Legal business name | Shadi, Jonathan R. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2009 |
| Last updated | May 30th, 2019 - about 5 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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