BRADLEY ELI LA OFFICE
NPI 1306538681
Dentist - Oral and Maxillofacial Surgery in Tarzana, CA

Active since May 24, 2023
18981 VENTURA BLVD FL 2, TARZANA, CA 91356(844) 235-9881(760) 436-5123 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2023, Jun 23, 2023, May 24, 2023 (3 updates tracked since 2023).

About Bradley Eli La Office NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY ELI LA OFFICE (NPI 1306538681) is a healthcare organization registered as an oral and maxillofacial surgery in Tarzana, California and active in the NPI registry since May 2023. The organization lists Bradley Allen Eli, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306538681
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBRADLEY ELI LA OFFICE
Location Address18981 VENTURA BLVD FL 2Tarzana, CA 91356-3237
Mailing Address18981 Ventura Blvd Fl 2Tarzana, CA 91356-3237 · (844) 235-9881 · Fax (760) 436-5123
Fax(760) 436-5123
Organization SubpartYesParent: Bradley A. Eli Dental Corporation
Authorized OfficialBradley Allen EliCeo · (844) 235-9881
Enumeration DateMay 24, 2023
Last NPPES UpdateAugust 24, 20233 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
NPI 1306538681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · Orofacial PainTaxonomy 1223X2210X
18981 VENTURA BLVD FL 2, Tarzana, CA 91356

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Eli La Office's NPI number?

The NPI number for Bradley Eli La Office is 1306538681. It was assigned to this organization in the NPPES registry on May 24, 2023.

Where is Bradley Eli La Office located?

Bradley Eli La Office is located at 18981 Ventura Blvd Fl 2, Tarzana, CA 91356. The listed phone number is (844) 235-9881.

What is Bradley Eli La Office's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Bradley Eli La Office was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.