Richard R Elhaj, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11629T Issued in CA

Practice address

6600 Topanga Canyon Blvd
Topanga Plaza SP 1
Canoga Park, CA 91303-2609

Phone

(818) 883-8220

Fax

(818) 348-7724

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467517326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 TOPANGA CANYON BLVD",
            "address_2": "TOPANGA PLAZA SP 1",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032609",
            "telephone_number": "818-883-8220",
            "fax_number": "818-348-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 TOPANGA CANYON BLVD",
            "address_2": "TOPANGA PLAZA SP 1",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032609",
            "telephone_number": "818-883-8220",
            "fax_number": "818-348-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHAJ",
        "first_name": "RICHARD",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11629T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.