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General NPI Number Information
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NPI Number | 1578917720
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Entity Type | Individual
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Provider Name | ELINORA S MADRID-CARRANZA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 7543 SANTA MONICA BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-6406
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Country | US
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Telephone | 323-988-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 2585 PACIFIC COAST HWY
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City | TORRANCE
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State | CA
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Zip | 90505-7035
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Country | US
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Telephone | 424-835-6775
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Fax | 605-309-2289
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A150499
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License Number State | CA
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