Individual
ELIZABETH LISA CHILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
345 PIONEER DR UNIT 1203, GLENDALE, CA 91203-2780
(818) 620-5692
Mailing address
345 PIONEER DR UNIT 1203, GLENDALE, CA 91203-2780
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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