Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wilshire Oral Surgery & Implant Center

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1205370319

Wilshire Oral Surgery & Implant Center is an Oral and Maxillofacial Surgery (Dentist) in Los Angeles, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

12300 Wilshire Blvd Ste #326
Los Angeles, CA 90025-1020
Phone: (310) 652-6553
Fax: (310) 652-6553
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 63560 (CA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 58812 (CA)

Record details

NPI number1205370319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Shadi — President · (310) 652-6553
Other names Jonathan Shadi, Dds, Inc
NPI enumeratedDecember 8, 2016
Last updated in NPPESDecember 13, 2016
Mailing address12300 Wilshire Blvd, Suite #326, Los Angeles, CA 90025-1020

Other providers in Los Angeles