Organization
ED JESALVA M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED S. JESALVA M.D. (OWNER)
(805) 374-1120
Entity
Organization
Contact information
Practice address
2659 TOWNSGATE RD STE 209, WESTLAKE VILLAGE, CA 91361-2771
(805) 374-1120
(805) 374-1124
Mailing address
2659 TOWNSGATE RD STE 209, WESTLAKE VILLAGE, CA 91361-2771
(805) 374-1120
(805) 374-1124
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G58063
CA
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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