Provider Demographics
NPI:1518127729
Name:ELOUL, YAROM ALEX (PA-C, MPAS)
Entity Type:Individual
Prefix:MR
First Name:YAROM
Middle Name:ALEX
Last Name:ELOUL
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Gender:M
Credentials:PA-C, MPAS
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Mailing Address - Street 1:11631 VICTORY BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3572
Mailing Address - Country:US
Mailing Address - Phone:818-764-8838
Mailing Address - Fax:818-764-3032
Practice Address - Street 1:11631 VICTORY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3572
Practice Address - Country:US
Practice Address - Phone:818-764-8838
Practice Address - Fax:818-764-3032
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2020-06-10
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant