Individual
LAILA M. ELKEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20301 SW BIRCH ST, 100, NEWPORT BEACH, CA 92660-1754
(949) 251-1502
(949) 251-1522
Mailing address
20301 SW BIRCH ST, 100, NEWPORT BEACH, CA 92660-1754
(949) 251-1502
(949) 251-1522
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
A85384
CA
207NS0135X
Procedural Dermatology Physician
Primary
A85384
CA
208M00000X
Hospitalist Physician
A85384
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A853840
—
CA
Enumeration date
11/01/2006
Last updated
11/05/2017
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