MEDICARE: DR. ALBERT ABRAHAM ELHIANI DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E5593	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E5593	OTHER	CA	BOARD OF PODIATRIC MEDICINE

General Provider Information

NPI Number	:	1699298539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT ABRAHAM ELHIANI DPM

Provider Business Mailing Address
First Line	:	9233 W PICO BLVD STE 201
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1385
Country	:	US
Telephone Number	:	424-279-9332
Fax Number	:	424-279-9332

Provider Business Practice Location Address
First Line	:	9233 W PICO BLVD STE 201
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1385
Country	:	US
Telephone Number	:	424-279-9332
Fax Number	:	424-279-9332

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2017
Last Update Date	:	04/27/2026

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