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General NPI Number Information
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NPI Number | 1891665014
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Entity Type | Organization
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Legal Business Name | ELI MEDICAL GROUP INC
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 8797 BEVERLY BLVD STE 315
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90048-1862
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Country | US
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Telephone | 818-632-8876
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Fax |
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Provider Business Mailing Address
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Address Line | 269 S BEVERLY DR # 904
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3851
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FAMILY MEDICINE PHYSICIAN
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Name | DR. MATTHEW ELI
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Credential | D.O.
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Telephone | 818-632-8876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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