Individual
ELITE MEKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90010-2814
(323) 361-3550
(323) 361-8052
Mailing address
6596 OAK SPRINGS DR, OAK PARK, CA 91377-3828
(818) 590-2450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1
CA
1223P0221X
Pediatric Dentistry
Primary
102303
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2016
Last updated
03/27/2019
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