Individual
DR. TROY ELANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
242 26TH ST, SANTA MONICA, CA 90402-2559
(310) 393-0634
(310) 451-4009
Mailing address
242 26TH ST, SANTA MONICA, CA 90402-2559
(310) 393-0634
(310) 451-4001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G65935
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G659350
—
CA
01
—
CK5309
MEDICARE RAIL ROAD
CA
01
—
EC732Z
PTAN FOR UCLA
—
Enumeration date
07/24/2006
Last updated
03/30/2011
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