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Elliot Ryan Carlisle Md Inc
Orthopedic Surgery of the Spine Physician in Encino, California
NPI 1427225440

Elliot Ryan Carlisle Md Inc is a Orthopedic Surgery of the Spine Physician based in Encino, CA and is specialized in Orthopedic Surgery of the Spine. Elliot Ryan Carlisle Md Inc practices in Encino, CA. The NPI Number for Elliot Ryan Carlisle Md Inc is 1427225440 and holds a License No. A74780 (California).

The current practice location address for Elliot Ryan Carlisle Md Inc is 17525 Ventura Blvd Ste 203, Encino, CA and can be reached out via phone at 310-986-0200 and via fax at 818-986-4390.

Location: 17525 Ventura Blvd Ste 203, Encino, CA, 91316-5109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427225440
Provider Name
Elliot Ryan Carlisle Md Inc
Credential
Provider Entity Type
Organization
Address
17525 Ventura Blvd Ste 203, Encino, CA, 91316-5109
Phone Number
310-986-0200
Fax Number
818-986-4390
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A74780 01 CA STATE LICENSE
1669453676 01 CA TYPE 1 NPI
institution
Provider Business Practice Location Address Details
Address
17525 Ventura Blvd Ste 203
City
Encino
State
California
Zip
91316-5109
Phone Number
310-986-0200
Fax Number
818-986-4390
person
Provider Business Mailing Address Details
Address
17525 Ventura Blvd Ste 203
City
Encino
State
California
Zip
91316-5109
Phone Number
310-986-0200
Fax Number
818-986-4390
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
A74780 (California)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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Elliot Ryan Carlisle
NPI 1669453676
Orthopedic Surgery of the Spine Physician
16311 Ventura Blvd,
ENCINO, CA
91436-2124
818-788-7343
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