Individual
ELSAGAV S SHAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
866 N VERMONT AVE, #1, LOS ANGELES, CA 90029-3528
(323) 660-2100
(323) 662-0078
Mailing address
866 N VERMONT AVE, #1, LOS ANGELES, CA 90029-3528
(323) 660-2100
(323) 662-0078
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G50824
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G508240
—
CA
Enumeration date
08/23/2005
Last updated
10/03/2013
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