Washington, Eleby Rudolph
Washington, Eleby Rudolph is an individual health care provider with primary practice located at 4644 Lincoln Blvd Suite 101, Marina Del Rey CA 90292-6313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Washington, Eleby Rudolph can be contacted via phone (310) 577-8500.Contact Information
Primary practice address
4644 Lincoln Blvd Suite 101
Marina Del Rey CA 90292-6313
Phone: (310) 577-8500
Fax: (310) 577-8507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G53301 | California |
Profile Details
| NPI number | 1154315273 |
|---|---|
| LBN Legal business name | Washington, Eleby Rudolph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154315273 | NPPES |
| California | MEDICAID | 00G533010 |
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