Elyson, Michael

Elyson, Michael is an sole proprietor health care provider with primary practice located at 19642 Ventura Blvd Suite B, Tarzana CA 91356-7125. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Elyson, Michael can be contacted via phone (818) 708-1112.

Contact Information

Primary practice address
19642 Ventura Blvd Suite B Tarzana CA 91356-7125
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 40234 California
Dental Providers / General Practice 1223G0001X 40234 California

Profile Details

NPI number 1225248230
LBN Legal business name Elyson, Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Mar 26th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers