Individual
ALEX ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 OLYMPIC BLVD, SANTA MONICA, CA 90401-3311
(310) 450-4050
Mailing address
1453 16TH ST, SANTA MONICA, CA 90404-2715
(310) 264-6646
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
05/11/2015
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