Elliott, Robert

Elliott, Robert is an individual health care provider with primary practice located at 2710 W Manchester Blvd , Inglewood CA 90305-2436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Elliott, Robert can be contacted via phone (323) 778-4310.

Contact Information

Primary practice address
2710 W Manchester Blvd Inglewood CA 90305-2436
Phone: (323) 778-4310
Fax: (323) 778-0838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G38036 California

Profile Details

NPI number 1467401844
LBN Legal business name Elliott, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 24th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467401844 NPPES
California MEDICAID 00G380360

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