Provider Demographics
NPI:1538914452
Name:ELSTER, JERRY D (PHD)
Entity type:Individual
Prefix:
First Name:JERRY
Middle Name:D
Last Name:ELSTER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 W AVENUE K
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-6421
Mailing Address - Country:US
Mailing Address - Phone:510-334-4333
Mailing Address - Fax:
Practice Address - Street 1:3600 WILSHIRE BLVD STE 1500
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2619
Practice Address - Country:US
Practice Address - Phone:213-389-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator