Individual
MR. ELIAS DIB JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8019 COMPTON AVE, LOS ANGELES, CA 90001-3409
(323) 586-7333
(323) 319-1998
Mailing address
1510 W 79TH ST, LOS ANGELES, CA 90047-2825
(323) 752-4602
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
03/14/2007
Last updated
07/09/2007
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