Individual
ELAINE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 PACIFIC COAST HWY, SUITE 'S', LOMITA, CA 90717-2660
(310) 257-6430
Mailing address
25925 NARBONNE AVE, #21, LOMITA, CA 90717-3068
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT7774
CA
Other
Enumeration date
04/20/2007
Last updated
11/30/2021
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