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General NPI Number Information
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NPI Number | 1780215210
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Entity Type | Organization
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Legal Business Name | ALBERT ELHIANI DPM INC
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 9233 W PICO BLVD STE 201
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City | LOS ANGELES
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State | CA
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Zip | 90035-1385
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Country | US
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Telephone | 424-279-9332
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Fax | 424-279-9333
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Provider Business Mailing Address
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Address Line | 9340 W PICO BLVD STE 2
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City | LOS ANGELES
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State | CA
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Zip | 90035-1255
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Country | US
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Telephone | 510-457-1463
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Fax | 310-288-1774
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Authorized Official
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Title or Position | CORPORATE OFFICER
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Name | DR. ALBERT A ELHIANI
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Credential | DPM
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Telephone | 424-279-9332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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