Individual
DR. ELEBY RUDOLPH WASHINGTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4644 LINCOLN BLVD, SUITE 101, MARINA DEL REY, CA 90292-6313
(310) 577-8500
(310) 577-8507
Mailing address
4644 LINCOLN BLVD, SUITE 101, MARINA DEL REY, CA 90292-6313
(310) 577-8500
(310) 577-8507
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G53301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G533010
—
CA
Enumeration date
09/02/2005
Last updated
07/08/2007
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