Provider Demographics
NPI:1417385923
Name:DR AYLIN SELEK MD APC
Entity Type:Organization
Organization Name:DR AYLIN SELEK MD APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SELEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-688-7477
Mailing Address - Street 1:8306 WILSHIRE BLVD
Mailing Address - Street 2:#820
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2304
Mailing Address - Country:US
Mailing Address - Phone:310-688-7477
Mailing Address - Fax:310-861-1517
Practice Address - Street 1:6222 WILSHIRE BLVD
Practice Address - Street 2:#303
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5123
Practice Address - Country:US
Practice Address - Phone:310-688-7477
Practice Address - Fax:310-861-1517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-18
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty