Individual
ELVIN KASIMOGLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 E BROADWAY, GLENDALE, CA 91205-1383
(818) 500-9286
Mailing address
7 COACHMAN, TRABUCO CANYON, CA 92679-4203
(949) 459-2663
(949) 459-2663
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A70852
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A70852
MEDICAL LICENSE
CA
Enumeration date
11/04/2019
Last updated
11/30/2023
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