Organization
JOSHUA D. I. ELLENHORN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA D.I. ELLENHORN M.D. (PRESIDENT)
(310) 920-9248
Entity
Organization
Contact information
Practice address
8631 W 3RD ST, STE 200E, LOS ANGELES, CA 90048-5901
(310) 920-9248
(310) 289-1526
Mailing address
236 S LINDEN DR, BEVERLY HILLS, CA 90212-3705
(310) 920-9248
(310) 289-1526
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
G57872
CA
Other
Enumeration date
02/06/2012
Last updated
06/17/2014
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