Dr. Jonathan Peri
Dentist - General Practice Oral and Maxillofacial Surgeon Oral and Maxillofacial Pathology
12121 Wilshire Blvd Ste 1111
Los Angeles
, California 90025-1188
Dr. Jonathan Peri
Dentist - General Practice Oral and Maxillofacial Surgeon Oral and Maxillofacial Pathology
12121 Wilshire Blvd Ste 1111
Los Angeles
, California 90025-1188
(818) 634-4280
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About
Features
Specialties
- General Practice
- Oral and Maxillofacial Pathology
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jonathan Peri
- 20433 Ruston Rd
- Woodland Hills, CA
- Zip : 91364-5646
- Phone : (818) 634-4280
Second Address
- Dr. Jonathan Peri
- 12121 Wilshire Blvd Ste 1111
- Los Angeles, CA
- Zip : 90025-1188
- Phone : (818) 634-4280
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223G0001X | General Practice | 11355 | CT |
| N | 213EG0000X | General Practice | 11355 | CT |
| N | 1223P0106X | Oral and Maxillofacial Pathology | 64137 | CA |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 64137 | CA |
National Provider Identifier
| NPI | 1689914012 |
|---|---|
| Provider Name | Dr. Jonathan Peri |
| First Address | Woodland Hills, CA 91364-5646 |
| Second Address | Los Angeles, CA 90025-1188 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2013 |
| Last Update Date | 16/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.