Individual
MR. JOEL AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1025 W OLYMPIC BLVD, LOS ANGELES, CA 90015-1329
(213) 623-2225
(213) 861-5859
Mailing address
1201 WINSTON AVE, SAN MARINO, CA 91108-2135
(626) 396-8242
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10447
CA
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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