Maurice Elihu Md Inc. | |
2080 Century Park E Suite 1804 Los Angeles CA 90067-2001 | |
(310) 551-9900 | |
(310) 551-9920 |
Full Name | Maurice Elihu Md Inc. |
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Speciality | Internal Medicine |
Location | 2080 Century Park E, Los Angeles, California |
Authorized Official Name and Position | Maurice Elihu (PRESIDENT) |
Authorized Official Contact | 3105519900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maurice Elihu Md Inc. Po Box 7579 Beverly Hills CA 90212-7579 Ph: () - | Maurice Elihu Md Inc. 2080 Century Park E Suite 1804 Los Angeles CA 90067-2001 Ph: (310) 551-9900 |
NPI Number | 1891962155 |
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Provider Enumeration Date | 05/14/2008 |
Last Update Date | 08/04/2009 |
Medicare PECOS PAC ID | 9436213865 |
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Medicare Enrollment ID | O20090130000407 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891962155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | A88076 (California) | Primary |
Provider Name | Maurice Elihu |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1144226184 PECOS PAC ID: 1355370347 Enrollment ID: I20050810000462 |
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