Individual
ERIC ESRAILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #365, LOS ANGELES, CA 90095
(310) 794-9718
Mailing address
FILE #55737, LOS ANGELES, CA 90074
(310) 794-9718
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A77669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A7766900
MEDICAL PPIN #
CA
Enumeration date
07/09/2006
Last updated
02/18/2013
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