Provider Demographics
NPI:1992214837
Name:BATCHLOR, ELAINE ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:ELIZABETH
Last Name:BATCHLOR
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 1:7500 DUNFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-1341
Mailing Address - Country:US
Mailing Address - Phone:310-342-7617
Mailing Address - Fax:
Practice Address - Street 1:2251 W ROSECRANS AVE STE 18-21
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90222-3858
Practice Address - Country:US
Practice Address - Phone:424-338-8675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-22
Last Update Date:2017-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41213207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology