KENNETH BERTRAM ELCONIN

LOS ANGELES, CA
NPI1215139647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QU0200X Clinic/Center Urgent Care
(Licence: CA  AFE17621)
Enumeration Date2007-06-05
Last Update Date2007-07-18
Business Address
DR. KENNETH BERTRAM ELCONIN M.D.
8405 BEVERLY BLVD
LOS ANGELES, CA 90048-3401
Phone number: 323-653-8622
Mailing Address
DR. KENNETH BERTRAM ELCONIN M.D.
500 HOMEWOOD RD
LOS ANGELES, CA 90049-1906
Phone number: 310-472-2983
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