MEDICARE: ELI MEDICAL GROUP INC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1891665014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELI MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	269 S BEVERLY DR # 904
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-3851
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8797 BEVERLY BLVD STE 315
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90048-1862
Country	:	US
Telephone Number	:	818-632-8876
Fax Number	:

Authorized Official
Title or Position	:	FAMILY MEDICINE PHYSICIAN
Name	:	DR. MATTHEW ELI
Credential	:	D.O.
Telephone Number	:	818-632-8876

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	11/11/2025

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