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NPI Code Detail

MEDICARE: DR. KHRISTINE ELAINE EROSHEVICH M.D.

MEDICARE:  DR. KHRISTINE ELAINE EROSHEVICH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianC37980CA

General Provider Information

NPI Number : 1720026420
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KHRISTINE ELAINE EROSHEVICH M.D.
Provider Business Mailing Address
First Line : 501 S BEVERLY DR
Second Line : THIRD FLOOR
City : BEVERLY HILLS
State : CA
Zip : 90212-4562
Country : US
Telephone Number : 310-277-7351
Fax Number : 310-556-0253
Provider Business Practice Location Address
First Line : 16133 VENTURA BLVD
Second Line : SUITE 1220
City : ENCINO
State : CA
Zip : 91436-2403
Country : US
Telephone Number : 818-784-2011
Fax Number : 818-784-2077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 07/08/2007

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Directions to “ DR. KHRISTINE ELAINE EROSHEVICH M.D.” Practice Location

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