| Ed Jesalva M.d. | |
|
2659 Townsgate Rd Ste 209 Westlake Village CA 91361-2771 | |
| (805) 374-1120 | |
| (805) 374-1124 |
| Full Name | Ed Jesalva M.d. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2659 Townsgate Rd Ste 209, Westlake Village, California |
| Authorized Official Name and Position | Ed S. Jesalva (OWNER) |
| Authorized Official Contact | 8053741120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ed Jesalva M.d. 2659 Townsgate Rd Ste 209 Westlake Village CA 91361-2771 Ph: (805) 374-1120 | Ed Jesalva M.d. 2659 Townsgate Rd Ste 209 Westlake Village CA 91361-2771 Ph: (805) 374-1120 |
| NPI Number | 1275791980 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275791980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G58063 (California) | Primary |
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