Organization
ILYA GELMAN, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA GELMAN M.D. (PRESIDENT)
(323) 653-2504
Entity
Organization
Contact information
Practice address
6333 WILSHIRE BLVD, STE200, LOS ANGELES, CA 90048-5702
(323) 653-2504
(323) 653-2515
Mailing address
6333 WILSHIRE BLVD, STE200, LOS ANGELES, CA 90048-5702
(323) 653-2504
(323) 653-2515
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A56511
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A565111
—
CA
Enumeration date
02/15/2008
Last updated
07/31/2014
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