Dr. Jonathan R. Shadi
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
12300 Wilshire Blvd Ste 326
Los Angeles
, California 90025
Dr. Jonathan R. Shadi
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
12300 Wilshire Blvd Ste 326
Los Angeles
, California 90025
(310) 954-9470
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
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
Reviews
FAQs
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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)
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.