Individual
ELIOT BRUCE SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 STEIN PLZ, 1-340, LOS ANGELES, CA 90095-0001
(310) 825-5000
Mailing address
1301 20TH STREET, SUITE 260, SANTA MONICA, CA 90404
(310) 829-1224
(310) 315-0133
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G39748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G397480
—
CA
Enumeration date
10/18/2006
Last updated
05/14/2012
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