Individual
DR. ELIZABETH MICHELLE BOUDIAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(734) 645-4385
Mailing address
3737 MOTOR AVE APT 304, LOS ANGELES, CA 90034-3062
(734) 645-4385
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4351033486
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2016
Last updated
06/26/2023
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