Most Relevant Information
Provider Data
| NPI Number: | 1003303132 |
| Provider Name: | MICHAEL ELLERIN DAVID MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | A174392 |
Most Important Dates
| Enumeration Date: | 04/14/2018 |
| Last Updated: | 06/10/2024 |
Provider Practice Location
8700 BEVERLY BLVD # M-335
WEST HOLLYWOOD
CA
900481804
Practice Location Phone/Fax
| Phone: | 3104233095 |
| Fax: |
Provider Mailing Location
8705 GRACIE ALLEN DR
LOS ANGELES
CA
900483812
Provider Mailing Phone/Fax
| Phone: | 6179472179 |
| Fax: |