Boudiab, Elizabeth Michelle
Boudiab, Elizabeth Michelle is an individual health care provider with primary practice located at 1500 San Pablo St , Los Angeles CA 90033-5313. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Boudiab, Elizabeth Michelle can be contacted via phone (734) 645-4385.Contact Information
Primary practice address
1500 San Pablo St
Los Angeles CA 90033-5313
Phone: (734) 645-4385
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 4351033486 | Michigan |
Profile Details
| NPI number | 1437505054 |
|---|---|
| LBN Legal business name | Boudiab, Elizabeth Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2016 |
| Last updated | Jun 26th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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