Organization
ELANDER EYE MEDICAL GROUP INC
Active
Other names
Elander Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
TROY ROBERT ELANDER M.D. (OWNER/VICE PRESIDENT)
(310) 393-0634
Entity
Organization
Contact information
Practice address
242 26TH ST, SANTA MONICA, CA 90402-2552
(310) 393-0634
(310) 451-4009
Mailing address
242 26TH ST, SANTA MONICA, CA 90402-2552
(310) 393-0634
(310) 451-4009
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK5309
MEDICARE RAIL ROAD
CA
Enumeration date
09/20/2006
Last updated
12/17/2008
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