Active NPI
Golnaz Isabel Yeroushalmi, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1710312889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62824
- Practice address
- 1921 Glendon Ave
#102
Los Angeles, CA 90025-4696 - Phone
- (310) 407-9274
- NPI assigned
- Sep 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 62824 | CA | Primary |
Addresses
Primary practice location
1921 Glendon Ave
#102
Los Angeles, CA 90025-4696
Mailing address
1921 Glendon Ave
#102
Los Angeles, CA 90025-4696
Phone (310) 407-9274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62824 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1710312889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 GLENDON AVE",
"address_2": "#102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254696",
"telephone_number": "310-407-9274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 GLENDON AVE",
"address_2": "#102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254696",
"telephone_number": "310-407-9274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEROUSHALMI",
"first_name": "GOLNAZ",
"middle_name": "ISABEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.