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Dr. Elliott J Caine

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NPI Number Detailed Information

Provider Information:

Name: Dr. Elliott J Caine
Gender: M
Provider License Number If Given: OPT6005T

NPI Information:

NPI: 1558355040
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 5/12/2009

Provider Business Mailing Address:

Address: 5016 YORK BLVD
Los Angeles, CA 90042
Phone Number: 6264039810
Fax Number: 6264034597

Provider Business Practice Location Address:

Address: 5016 YORK BLVD
Los Angeles, CA 90042
Phone Number: 6264039810
Fax Number: 6264034597

Provider Taxonomy:

Primary: 152W00000X
Secondary (if any):
State: CA

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