Provider Demographics
NPI:1376868414
Name:SELEK, AYLIN (MD)
Entity Type:Individual
Prefix:
First Name:AYLIN
Middle Name:
Last Name:SELEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 S HAMILTON DR
Mailing Address - Street 2:UNIT 106
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-5435
Mailing Address - Country:US
Mailing Address - Phone:310-688-7477
Mailing Address - Fax:
Practice Address - Street 1:9808 VENICE BLVD
Practice Address - Street 2:#404
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-6829
Practice Address - Country:US
Practice Address - Phone:310-688-7477
Practice Address - Fax:310-861-1517
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI54252204F00000X
CAA116298207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery