Individual
EMIL ELIZAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20151 NORDHOFF ST, CHATSWORTH, CA 91311-6215
(818) 407-3156
Mailing address
20151 NORDHOFF ST, CHATSWORTH, CA 91311-6215
(818) 407-3156
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
10/01/2019
Last updated
03/26/2021
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