Individual
DR. MICHAEL ELLERIN DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD # M-335, WEST HOLLYWOOD, CA 90048-1804
(310) 423-3095
Mailing address
8705 GRACIE ALLEN DR, LOS ANGELES, CA 90048-3812
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
328446
NY
2085R0202X
Diagnostic Radiology Physician
A174392
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2018
Last updated
02/12/2026
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