Individual
DR. ELISE BRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD FAAO
Contact information
Practice address
955 CARRILLO DR, STE 105, LOS ANGELES, CA 90048
(323) 954-5800
(323) 954-5807
Mailing address
955 CARRILLO DR, STE 105, LOS ANGELES, CA 90048
(323) 954-5800
(323) 954-5807
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8894
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S0008994
—
CA
Enumeration date
04/10/2006
Last updated
06/27/2011
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