ELISA PARK

MONTEBELLO, CA
NPI1477931186
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  20A16443)
Enumeration Date2015-05-13
Last Update Date2020-08-18
Business Address
ELISA PARK
3114 W BEVERLY BLVD
MONTEBELLO, CA 90640-2217
Phone number: 323-726-3868
Mailing Address
ELISA PARK
3114 W BEVERLY BLVD
MONTEBELLO, CA 90640-2217
Phone number: 323-726-3868