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NPI Code Detail

MEDICARE: MAURICE ELIHU MD

MEDICARE:   MAURICE  ELIHU  MD
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
1207RG0100XGastroenterology PhysicianA88076CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10-536-106-8OTHERCAECFMG
200A880760OTHERCAMEDI CAL #

General Provider Information

NPI Number : 1144226184
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAURICE ELIHU MD
Provider Business Mailing Address
First Line : PO BOX 7579
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90212-7579
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2080 CENTURY PARK E
Second Line : SUITE 1804
City : LOS ANGELES
State : CA
Zip : 90067-2001
Country : US
Telephone Number : 310-551-9900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 08/04/2009

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Directions to “ MAURICE ELIHU MD” Practice Location

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