Organization
ELITE MEDICAL AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN FENDEL (CEO)
(310) 906-6779
Entity
Organization
Contact information
Practice address
205 HIGHLAND PL, MONROVIA, CA 91016-2015
(310) 906-6779
Mailing address
205 HIGHLAND PL, MONROVIA, CA 91016-2015
(310) 906-6779
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
WORK COMP
—
Enumeration date
11/19/2019
Last updated
11/19/2019
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