Organization
ELIST MEDICAL CORPORATION
Active
Parent organization
ELIST MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELIST MEDICAL CORPORATION
Authorized official
MICHAEL ELIST DO (PRESIDENT / CEO)
(818) 760-2800
Entity
Organization
Contact information
Practice address
1972 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-1751
(323) 588-5555
Mailing address
10648 LINDBROOK DR, LOS ANGELES, CA 90024-3232
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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