Individual
ELISE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10833 LECONTE AVE, 37121 CHS, LOS ANGELES, CA 90095-0001
(310) 825-7225
Mailing address
10833 LECONTE AVE, 37121 CHS, LOS ANGELES, CA 90095-0001
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A119229
CA
Other
Enumeration date
12/17/2010
Last updated
05/24/2021
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