# ELEBY R. WASHINGTON III MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154692507
- **Authorized official:** ANN EGUCHI (BILLER)
- **Authorized official phone:** (310) 577-8500

## Contact information

- **Practice address:** 4644 LINCOLN BLVD, SUITE 101, MARINA DEL REY, CA 90292-6313
- **Practice address phone:** (310) 577-8500
- **Practice address fax:** (310) 305-7119
- **Mailing address:** 4644 LINCOLN BLVD, SUITE 101, MARINA DEL REY, CA 90292-6313
- **Mailing address phone:** (310) 577-8500
- **Mailing address fax:** (310) 305-7119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G53301 | CA | Yes |

## Other

- **Enumeration date:** 01/17/2012
- **Last updated:** 01/17/2012