Provider Demographics
NPI:1922123603
Name:GREENBERG, ELAINA TRAGER (MS, LAC)
Entity Type:Individual
Prefix:MRS
First Name:ELAINA
Middle Name:TRAGER
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:MS
Other - First Name:ELAINA
Other - Middle Name:CAREN
Other - Last Name:TRAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LAC
Mailing Address - Street 1:2001 S BARRINGTON AVE #221
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025
Mailing Address - Country:US
Mailing Address - Phone:310-740-7700
Mailing Address - Fax:
Practice Address - Street 1:2001 S BARRINGTON AVE #221
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025
Practice Address - Country:US
Practice Address - Phone:310-740-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14085171100000X
WA2146171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist