Provider Demographics
NPI:1902425465
Name:ELKAYAM, ISAK (MD)
Entity Type:Individual
Prefix:
First Name:ISAK
Middle Name:
Last Name:ELKAYAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 MEDICAL CENTER DR STE 500
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-4101
Mailing Address - Country:US
Mailing Address - Phone:818-226-3666
Mailing Address - Fax:
Practice Address - Street 1:7301 MEDICAL CENTER DR STE 500
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-4101
Practice Address - Country:US
Practice Address - Phone:818-226-3666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA182109207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine