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1265580062
ELIAS NAME
PANORAMA CITY, CA
NPI
1265580062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A81171)
Enumeration Date
2007-01-08
Last Update Date
2021-12-08
Business Address
ELIAS NAME MD
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2000
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Mailing Address
ELIAS NAME MD
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2000
Copy
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