Individual
ELEANORE MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11911 SAN VICENTE BLVD STE 225, LOS ANGELES, CA 90049-5066
(310) 472-6462
(310) 471-7781
Mailing address
11911 SAN VICENTE BLVD STE 225, LOS ANGELES, CA 90049-5066
(310) 472-6462
(310) 471-7781
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
G13305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G13305
STATE MEDICAL LICENSE NUM
CA
Enumeration date
01/30/2007
Last updated
03/07/2023
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