JEAN-JACQUES ELBAZ, D.D.S., M.S. A PROF DENTAL CORP (NPI# 1801453121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801453121 |
| Entity Type | Organization |
| Organization Name | JEAN-JACQUES ELBAZ, D.D.S., M.S. A PROF DENTAL CORP |
| Practice Address |
9465 Wilshire Blvd Ste 450 Beverly Hills CA 90212-2614 |
| Practice Telephone | 3102740456 |
| Mailing Telephone | 3102740456 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | MARIA RIVAS (RECEPTIONIST) |
| Authorized Official Telephone | 3102740456 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
9465 WILSHIRE BLVD STE 450 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1093210353 | Ravon & Bashawaty Dental Partnership | Dentist | 9675 Brighton Way Ph A, Beverly Hills, CA 90210-5164 | 2018-03-28 |
| 1225587876 | Sam S. Markzar, Inc | Dentist | 8500 Wilshire Blvd Ste 819, Beverly Hills, CA 90211-3106 | 2016-09-23 |
| 1538565510 | Violetta Kenigsberg | Dentist | 8549 Wilshire Blvd Ste 1159, Beverly Hills, CA 90211-3104 | 2014-11-18 |
| 1477897494 | Talia Shainhouse | Dentist | 9950 Durant Dr, #304, Beverly Hills, CA 90212-1615 | 2012-11-15 |
| 1407183205 | Shervin M Molayem | Dentist | 264 S La Cienega Blvd # 943, Beverly Hills, CA 90211-3302 | 2009-11-16 |
| 1518193275 | David Farivar | Dentist | 240 S La Cienega Ste 401, Beverly Hills, CA 90211-3316 | 2009-06-08 |
| 1174760185 | Sharyar E. Baradaran | Dentist | 414 N. Camden Dr, #1240, Beverly Hills, CA 90210 | 2009-01-13 |
| 1154576619 | Sahar Verdi | Dentist | 9025 Wilshire Blvd Ste 307, Beverly Hills, CA 90211-1827 | 2008-11-25 |
| 1750582110 | Sharona Dayan | Dentist | 9735 Wilshire Boulevard, Suite 211, Beverly Hills, CA 90212 | 2007-05-31 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on JEAN-JACQUES ELBAZ, D.D.S., M.S. A PROF DENTAL CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.