Jonathan Shadi, D.D.S

NPI 1528294709 · on the registry since 2009

Practice

Address: 12300 Wilshire Blvd
Ste 326
Los Angeles, CA 90025
Phone: (310) 954-9449
Fax: (310) 954-9470
Organisation at this address: Jose Ignacio Perea Inc
Wilshire Oral Surgery & Implant Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 204E00000X
204E00000X
Also registered as: 1223S0112X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California