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Individual

DR. ELIRAN MOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16550 VENTURA BLVD, SUITE 400, ENCINO, CA 91436-2004
(818) 907-1571
(818) 907-1574
Mailing address
16550 VENTURA BLVD, SUITE 400, ENCINO, CA 91436-2004
(818) 907-1571
(818) 907-1574

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A76089
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A76089
LICENSE NUMBER
CA
Enumeration date
12/12/2006
Last updated
10/13/2021
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