ELLIOTT FANKUCHEN

LAGUNA BEACH, CA
NPI1356394969
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: CA  G49524)
Enumeration Date2006-05-18
Last Update Date2007-11-30
Business Address
-- ELLIOTT FANKUCHEN M.D.
31872 SOUTH COAST HIGHWAY RADIOLOGY DEPARTMENT
LAGUNA BEACH, CA 92651
Phone number: 949-499-7195
Mailing Address
-- ELLIOTT FANKUCHEN M.D.
DEPT LA 21650
PASADENA, CA 91185-1650
Phone number: 949-263-8620
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