Individual provider · Type 1 NPI
Elliot Ryan Carlisle, MD
Orthopaedic Surgery of the Spine Physician · Encino, CA
Practice location
16311 Ventura Blvd, Suite 800
Encino, CA 91436-2124
Fax (818) 788-9453
Mailing address
17525 Ventura Blvd, Suite 203
Encino, CA 91316-3843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery of the Spine Physician Primary | 207XS0117X | A74780 (CA) |
Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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About NPI 1669453676
Elliot Ryan Carlisle, MD's National Provider Identifier is 1669453676, issued on Nov 7, 2005. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Encino, CA. The record was last updated on Dec 29, 2021.