J Ezra MD, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A31354 Issued in CA

Legal business name

J EZRA MD, INC.

Practice address

19379 Lemmer Dr
Tarzana, CA 91356-5532

Phone

(818) 881-8484

Fax

(818) 881-8484

NPI assigned

Aug 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Ezra, M.D.

Title

President

Phone

(818) 881-8484

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1528259041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19379 LEMMER DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565532",
            "telephone_number": "818-881-8484",
            "fax_number": "818-881-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19379 LEMMER DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565532",
            "telephone_number": "818-881-8484",
            "fax_number": "818-881-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J EZRA MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "EZRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-881-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A31354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Psychiatry Physician in California

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