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Dr. Jonathan R. Shadi

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

12300 Wilshire Blvd Ste 326
Los Angeles , California 90025

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Dr. Jonathan R. Shadi

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

12300 Wilshire Blvd Ste 326
Los Angeles , California 90025

(310) 954-9470

Write a Review Save Call

Dr. Jonathan R. Shadi

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

12300 Wilshire Blvd Ste 326
Los Angeles , California 90025

(310) 954-9470 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral and Maxillofacial Surgeon
  • Oral & Maxillofacial Surgeon

Languages spoken

  • English

Location

12300 Wilshire Blvd Ste 326 Los Angeles , California 90025

First Address

  • Dr. Jonathan R. Shadi
  • 12300 Wilshire Blvd Ste 326
  • Los Angeles, CA
  • Zip : 90025-1020
  • Fax : (310) 954-9470
  • Phone : (310) 954-9449

Second Address

  • Dr. Jonathan R. Shadi
  • 12300 Wilshire Blvd Ste 326
  • Los Angeles, CA
  • Zip : 90025
  • Fax : (310) 954-9470
  • Phone : (310) 954-9449

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FAQs


Where did Dr. Jonathan R. Shadi attend graduate school?

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Where did Dr. Jonathan R. Shadi do his residency?

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Where did Dr. Jonathan R. Shadi do his fellowship?

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Is Dr. Jonathan R. Shadi board certified?

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What type of doctor is Dr. Jonathan R. Shadi

Oral and Maxillofacial Surgeon

In what state does Dr. Jonathan R. Shadi practice in?

California

Where is Dr. Jonathan R. Shadi ’s practice located?

12300 Wilshire Blvd Ste 326 , Los Angeles, California, 90025

What is Dr. Jonathan R. Shadi ’s gender?

Male

Is Dr. Jonathan R. Shadi a sole practitioner?

No

Is Dr. Jonathan R. Shadi accepting new patients?

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What languages does Dr. Jonathan R. Shadi speak?

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Does Dr. Jonathan R. Shadi accept insurance?

Yes, Dr. Jonathan R. Shadi accepts insurance

Does Dr. Jonathan R. Shadi offers telemedicine?

Dr. Jonathan R. Shadi has not indicated if he offers telemedicine

What is Dr. Jonathan R. Shadi ’s professional license number?

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What is Dr. Jonathan R. Shadi ’s NPI number?

1528294709

Does Dr. Jonathan R. Shadi have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223S0112X Oral and Maxillofacial Surgeon 58812 CA
N 204E00000X Oral & Maxillofacial Surgeon 58812 CA

National Provider Identifier

NPI 1528294709
Provider Name Dr. Jonathan R. Shadi
First Address Los Angeles, CA 90025-1020
Second Address Los Angeles, CA 90025
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 02/06/2009
Last Update Date 30/05/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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