Individual
MS. ELLIE MAGHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A65355
CA
208600000X
Surgery Physician
A65355
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A663550
—
CA
Enumeration date
09/29/2006
Last updated
11/13/2020
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