Provider Demographics
NPI:1568894988
Name:ESKENAZI, JONATHAN JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:JOSEPH
Last Name:ESKENAZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 41748
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93384-1748
Mailing Address - Country:US
Mailing Address - Phone:323-638-1474
Mailing Address - Fax:888-642-9441
Practice Address - Street 1:6363 WILSHIRE BLVD STE 516
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5726
Practice Address - Country:US
Practice Address - Phone:310-933-4590
Practice Address - Fax:310-526-3452
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1404642084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology