Individual
ELODI JOY DIELUBANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1331 EASTLAKE AVE, LOS ANGELES, CA 90033
(323) 865-3700
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-6601
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
125056858
IL
208800000X
Urology Physician
Primary
192851
CA
208800000X
Urology Physician
270338
MA
Other
Enumeration date
12/21/2009
Last updated
06/04/2024
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