Eyal Maidan M.D.

NPI 1235422486 - Pediatrics - 208000000X

NPI Details
NPI 1235422486
Gender Male
Enumeration Date 05/20/2011
Last Updated 11/06/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
11980 SAN VICENTE BLVD
SUITE 102
LOS ANGELES CA, 90049-5012, US
Phone (310) 208-7777
Fax (310) 301-8751
Business Location
5767 W CENTURY BLVD
SUITE 400
LOS ANGELES CA, 90045-5631, US
Phone (310) 208-7777
Fax (401) 444-8804
Toxanomy
Taxonomy Code 208000000X
License State Rhode Island
License Number LP02195
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According to our database, Eyal Maidan M.D. NPI is 1235422486, taxonomy code is 208000000X and license number is LP02195, license state is located at Rhode Island. Eyal Maidan M.D. physically located at 11980 San Vicente Blvd, Los Angeles CA, 90049-5012. NPI Number Eyal Maidan M.D. has the Individual type.

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1235422486 NPI number is provided on an as is basis without warranty of any kind. 1235422486 is maintained by the National Plan & Provider Enumeration System. The contents of Eyal Maidan M.D. are for informational purposes only.