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Organization

ELITE MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE GRAND (CFO)
(818) 521-1418
Entity
Organization

Contact information

Practice address
4312 WOODMAN AVE STE 300, SHERMAN OAKS, CA 91423-5514
(818) 521-1418
Mailing address
4312 WOODMAN AVE STE 300, SHERMAN OAKS, CA 91423-5514

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
261Q00000X
Clinic/Center

Other

Enumeration date
08/22/2025
Last updated
08/22/2025
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