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Individual

DAVID ELI FISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 319-1234
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 319-1234

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A77878
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A778780
CA
Enumeration date
10/23/2006
Last updated
06/25/2010
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