Organization
ELEBY R. WASHINGTON III MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN EGUCHI (BILLER)
(310) 577-8500
Entity
Organization
Contact information
Practice address
4644 LINCOLN BLVD, SUITE 101, MARINA DEL REY, CA 90292-6313
(310) 577-8500
(310) 305-7119
Mailing address
4644 LINCOLN BLVD, SUITE 101, MARINA DEL REY, CA 90292-6313
(310) 577-8500
(310) 305-7119
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G53301
CA
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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