Elissa Anne Braitman, medico cirujano
Technician, Other in Los Angeles, CA. Individual provider (NPI-1).
NPI number1275866022
StatusActive
Last updated in NPPESSep 11, 2009
Details
- NPI
- 1275866022
- Entity type
- Individual (NPI-1)
- Name
- Elissa Anne Braitman
- Credential
- medico cirujano
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2009
- Last updated
- Sep 11, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
11301 Wilshire BlvdLos Angeles, CA 90073-1003
Phone 310-478-3711
Mailing address
11301 Wilshire BlvdLos Angeles, CA 90073-1003
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