ELISSA PORT

LOS ANGELES, CA
NPI1831890706
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  PTL3927)
Enumeration Date2023-03-16
Last Update Date2026-07-31
Business Address
ELISSA PORT
2020 ZONAL AVE
LOS ANGELES, CA 90089-0121
Phone number: 323-409-1000
Mailing Address
ELISSA PORT
2020 ZONAL AVE
LOS ANGELES, CA 90089-0121
Phone number: 651-472-2090
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