Individual
DR. CHARLES LAMAR ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2090 MOUND ST, LOS ANGELES, CA 90068-3911
(323) 463-3467
Mailing address
2090 MOUND ST, LOS ANGELES, CA 90068-3911
(323) 463-3467
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C29762
CA
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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