Igal Elyassi, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54424 Issued in CA

Legal business name

IGAL ELYASSI, D.D.S., INC.

Practice address

6200 Wilshire Blvd
1609
Los Angeles, CA 90048-5801

Phone

(323) 937-5773

Fax

(323) 937-9502

NPI assigned

Feb 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Igal ElyassiNPI 1679699771

Title

Owner

Phone

(323) 937-5773

Specialties & licenses 1

Addresses

Other names 1

• Wilshire Smile Studio Dental Group Doing business as

Locations

Practitioners 1

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

• Igal Elyassi, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1679699771
  NPD (past) Authorized official

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1154628931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "1609",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-937-5773",
            "fax_number": "323-937-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "1609",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-937-5773",
            "fax_number": "323-937-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGAL ELYASSI, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "ELYASSI",
        "authorized_official_first_name": "IGAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-937-5773",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilshire Smile Studio Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ievolve Transformational Services
• Miriam Nwobiara Ifegwu
• Japhet Okey Ifejoku, COUNSELOR
• Ifeoma S Izuchukwu MD, a Prof Med Corp
• Chantal Tami Ifrah, MFT INTERN
• Shahrokh Iganej, MD
• Teryn Igawa
• Brian Isaiah Igbinigie, DISPENCING OPTICIAN
• Chinenye Adaeze Igbo
• Antonio V Igbokidi

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.