Individual
JOSEPH ELISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18441 VENTURA BLVD, TARZANA, CA 91356-4201
(818) 996-1000
Mailing address
5310 ZELZAH AVE UNIT 306, ENCINO, CA 91316-2265
(310) 729-4083
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
179846
CA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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