Organization Active NPI

Joshua D. I. Ellenhorn, M.D., Inc.

  • Surgical Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1831461896
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
G57872 Issued in CA
Legal business name
JOSHUA D. I. ELLENHORN, M.D., INC.
Practice address
8631 W 3Rd St
Ste 200E
Los Angeles, CA 90048-5901
Phone
(310) 920-9248
Fax
(310) 289-1526
NPI assigned
Feb 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Dr. Joshua D.I. Ellenhorn, M.D.
Title
President
Phone
(310) 920-9248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X G57872 CA Primary

Addresses

Primary practice location

8631 W 3Rd St
Ste 200E
Los Angeles, CA 90048-5901

Mailing address

236 S Linden Dr
Beverly Hills, CA 90212-3705
Phone (310) 920-9248

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1831461896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 S LINDEN DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123705",
            "telephone_number": "310-920-9248",
            "fax_number": "310-289-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "STE 200E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-920-9248",
            "fax_number": "310-289-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA D. I. ELLENHORN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "ELLENHORN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "D.I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-920-9248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "G57872",
            "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 Jun 17, 2014; 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.