Kenneth Elconin, M.D

NPI 1215139647 · on the registry since 2007 · sole proprietor

Practice

Address: 8405 Beverly Blvd
Los Angeles, CA 90048
Phone: (323) 653-8622
Fax: (323) 658-6773
Organisation at this address: The Los Angeles Free Clinic
The Los Angeles Free Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 44

Registry record

Primary taxonomy: 261QU0200X
261QU0200X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California