Elconin, Kenneth Bertram

Elconin, Kenneth Bertram is an sole proprietor health care provider with primary practice located at 8405 Beverly Blvd , Los Angeles CA 90048-3401. He recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as his primary health care specialty. Elconin, Kenneth Bertram can be contacted via phone (323) 653-8622.

Contact Information

Primary practice address
8405 Beverly Blvd Los Angeles CA 90048-3401
Phone: (323) 653-8622
Fax: (323) 658-6773
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X AFE17621 California

Profile Details

NPI number 1215139647
LBN Legal business name Elconin, Kenneth Bertram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2007
Last updated Jul 18th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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