Provider Demographics
NPI:1033574603
Name:ELI E. HENDEL, MD., A CORPORATION
Entity Type:Organization
Organization Name:ELI E. HENDEL, MD., A CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELI
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HENDEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:818-500-9545
Mailing Address - Street 1:1500 S CENTRAL AVE STE 117
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-2580
Mailing Address - Country:US
Mailing Address - Phone:818-500-9545
Mailing Address - Fax:818-500-7414
Practice Address - Street 1:1500 S CENTRAL AVE STE 117
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-2580
Practice Address - Country:US
Practice Address - Phone:818-500-9545
Practice Address - Fax:818-500-7414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty