Individual
THEODORE DANIEL EHRLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-2000
Mailing address
P.O. BOX 491183, LOS ANGELES, CA 90049-1183
(310) 472-0169
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
G13528
CA
Other
Enumeration date
01/08/2007
Last updated
10/19/2012
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