Healthcare Provider Details

I. General information

NPI: 1992214837
Provider Name (Legal Business Name): ELAINE ELIZABETH BATCHLOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2017
Last Update Date: 09/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 W ROSECRANS AVE STE 18-21
COMPTON CA
90222-3858
US

IV. Provider business mailing address

7500 DUNFIELD AVE
LOS ANGELES CA
90045-1341
US

V. Phone/Fax

Practice location:
  • Phone: 424-338-8675
  • Fax:
Mailing address:
  • Phone: 310-342-7617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA41213
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: