Individual provider · Type 1 NPI
Terry Elliott, PA-C
Medical Physician Assistant · Los Angeles, CA
NPI number
1154656528
Active
Practice location
8631 W 3rd St Ste 945E
Los Angeles, CA 90048-5912
Fax (310) 657-0142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA20583 (CA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1154656528
Terry Elliott, PA-C's National Provider Identifier is 1154656528, issued on Oct 2, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 2, 2009.