Individual
CHRESTIN ELISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
110 S ADAMS ST, GLENDALE, CA 91205-1312
(818) 242-4426
Mailing address
191 S BUENA VISTA ST STE 475, BURBANK, CA 91505-4541
(818) 322-0126
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5912
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
POD-001100
AZ
390200000X
Student in an Organized Health Care Education/Training Program
EL6962
CA
Other
Enumeration date
06/09/2020
Last updated
10/03/2025
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