Provider Demographics
NPI:1649698218
Name:JENABI, ISAAC DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:DANIEL
Last Name:JENABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:23560 CRENSHAW BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5233
Mailing Address - Country:US
Mailing Address - Phone:310-891-6795
Mailing Address - Fax:323-300-5505
Practice Address - Street 1:23560 CRENSHAW BLVD STE 102
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5233
Practice Address - Country:US
Practice Address - Phone:310-891-6795
Practice Address - Fax:323-300-5505
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV18888208VP0014X
CAA140692208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine