Individual
DR. ELIZABETH A KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 565, LOS ANGELES, CA 90095-1349
(310) 206-7662
(310) 206-6307
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G58777
CA
207RN0300X
Nephrology Physician
Primary
G58777
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G587770
MEDICAL PPIN #
CA
01
—
MD00031981
STATE MEDICAL LICENSE
WA
Enumeration date
07/19/2006
Last updated
08/20/2019
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