Husam Elias MD DMD Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A113977 Issued in CA

Legal business name

HUSAM ELIAS MD DMD INC

Practice address

4910 Van Nuys Blvd
Suite 102
Sherman Oaks, CA 91403-1715

Phone

(818) 789-6622

NPI assigned

Nov 3, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Husam Elias, MD DMD FACS

Title

President

Phone

(818) 789-6622

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zainab Mahmoud, MD

  • Family Medicine Physician
  • Sherman Oaks, CA
  • NPI 1457547697
  NPD
• Paul Robert Bilovsky, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Sherman Oaks, CA
  • NPI 1407981939
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1104299833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD",
            "address_2": "SUITE 102",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031715",
            "telephone_number": "818-789-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD",
            "address_2": "SUITE 102",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031715",
            "telephone_number": "818-789-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSAM ELIAS MD DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-789-6622",
        "authorized_official_credential": "MD DMD FACS"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A113977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hughes
• Alyssa Huitron
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• Hummingbird L.a. LLC
• Heather Humphrey, LMFT
• Heather Victoria Rebecca Hutchins
• Breanne Thuy Trang Huynh
• Gloria Huynh, M.S., SLP
• Tho Huynh
• Hye Home Health Care, Inc.

• Medical Specialty Clinic/Center in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.