Individual
DR. ELIZABETH LE GUTMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1127 WILSHIRE BLVD, #909, LOS ANGELES, CA 90017-3901
(213) 334-3688
Mailing address
1127 WILSHIRE BLVD, #909, LOS ANGELES, CA 90017-3901
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A130069
CA
207ND0900X
Dermatopathology Physician
A130069
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/09/2008
Last updated
06/29/2016
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