Individual
ELAN HOWARD ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-4721
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5631
(310) 301-8708
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A1071490
CA
2085R0202X
Diagnostic Radiology Physician
MT186957
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A107490
—
CA
Enumeration date
03/17/2009
Last updated
11/22/2021
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