Individual
MR. ERIC ELIJAH TELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12099 W WASHINGTON BLVD, SUITE 200, LOS ANGELES, CA 90066-5882
(310) 751-1181
Mailing address
12099 W WASHINGTON BLVD, SUITE 200, LOS ANGELES, CA 90066-5882
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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