Jesalva, Ed Santos

Jesalva, Ed Santos is an sole proprietor health care provider with primary practice located at 2659 Townsgate Rd Suite 209, Westlake Village CA 91361-2710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Jesalva, Ed Santos can be contacted via phone (805) 374-1120.

Contact Information

Primary practice address
2659 Townsgate Rd Suite 209 Westlake Village CA 91361-2710
Phone: (805) 374-1120
Fax: (805) 374-1124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G058063 California

Profile Details

NPI number 1215075817
LBN Legal business name Jesalva, Ed Santos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2007
Last updated Nov 10th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215075817 NPPES
Arkansas Other ZER60515 EMC PROVIDER NUMBER

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