Active NPI
Elaine Gorelik, DDS
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1982894358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 56010
- Practice address
- 11377 W Olympic Blvd
Suite 125
Los Angeles, CA 90064-1625 - Phone
- (310) 430-2443
- NPI assigned
- Jul 31, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 56010 | CA | Primary |
Addresses
Primary practice location
11377 W Olympic Blvd
Suite 125
Los Angeles, CA 90064-1625
Mailing address
11377 W Olympic Blvd
Suite 125
Los Angeles, CA 90064-1625
Phone (310) 430-2443
Other names 1
- Yelena Gorelik
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1982894358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11377 W OLYMPIC BLVD",
"address_2": "SUITE 125",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641625",
"telephone_number": "310-430-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11377 W OLYMPIC BLVD",
"address_2": "SUITE 125",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641625",
"telephone_number": "310-430-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORELIK",
"first_name": "ELAINE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "56010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YELENA",
"last_name": "GORELIK",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.