Individual
DR. ELISABETH JANNICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 N SEPULVEDA BLVD, SUITE 210, MANHATTAN BEACH, CA 90266-6861
(310) 379-2134
Mailing address
111 N SEPULVEDA BLVD, SUITE 210, MANHATTAN BEACH, CA 90266-6861
(310) 379-2134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A125831
CA
Other
Enumeration date
06/27/2009
Last updated
06/27/2025
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