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Individual

ELLIOT ABEMAYOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MEDICAL PLZ, #550, LOS ANGELES, CA 90095-0001
(310) 203-3388
Mailing address
FILE 54206, LOS ANGELES, CA 90074-4206

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G46780
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G467800
MEDICAL PPIN #
CA
Enumeration date
07/27/2006
Last updated
03/18/2024
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