Free National NPI Number Registry
Dr. Elliott J Caine
Home >Dr. Elliott J Caine
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 |
