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Individual

MICHELLE ESLAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5757 WILSHIRE BLVD STE PR2, LOS ANGELES, CA 90036-3689
(310) 739-4026
(631) 350-0287
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 206-8272
(310) 794-2113

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A53670
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A53670
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A536700
CA
Enumeration date
05/18/2006
Last updated
05/17/2023
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