Individual
DR. ELI EDWARD HENDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 SOUTH CENTRAL AVE, SUITE 117, GLENDALE, CA 91204
(818) 500-9545
(818) 500-7414
Mailing address
PO BOX 16271, ENCINO, CA 91416-6271
(818) 788-6172
(818) 788-4431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A36257
CA
207RP1001X
Pulmonary Disease Physician
Primary
A36257
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A362570
—
CA
Enumeration date
03/21/2006
Last updated
09/26/2011
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