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Organization

LAILA ELKEEB, M.D., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAILA ELKEEB M.D. (PRESIDENT)
(949) 836-1605
Entity
Organization

Contact information

Practice address
242 WICKER, IRVINE, CA 92618-1170
(949) 356-5255
Mailing address
242 WICKER, IRVINE, CA 92618-1170
(949) 356-5255

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207ND0101X
MOHS-Micrographic Surgery Physician
207ND0900X
Dermatopathology Physician
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
207NP0225X
Pediatric Dermatology Physician
207NS0135X
Procedural Dermatology Physician

Other

Enumeration date
06/03/2014
Last updated
04/20/2015
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