Individual
ELAINE KU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, IRD #620, LOS ANGELES, CA 90033-1029
(323) 226-7556
(323) 226-2657
Mailing address
107 N MARGUERITA AVE # 107, ALHAMBRA, CA 91801-6911
(626) 780-0106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A105713
CA
2080P0210X
Pediatric Nephrology Physician
Primary
A105713
CA
Other
Enumeration date
10/06/2008
Last updated
12/08/2017
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