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DR. KENNETH BERTRAM ELCONIN M.D.
NPI 1215139647
Clinic/Center - Urgent Care in Los Angeles, CA

Active since June 05, 2007
8405 BEVERLY BLVD, LOS ANGELES, CA 90048(323) 653-8622(323) 658-6773 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Bertram Elconin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH BERTRAM ELCONIN M.D. (NPI 1215139647) is an individual urgent care provider in Los Angeles, California, licensed in California (AFE17621) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1215139647
Entity TypeIndividualMale
Primary Taxonomy261QU0200X
Provider Legal NameDR. KENNETH BERTRAM ELCONINCredential: M.D.
Location Address8405 BEVERLY BLVDLos Angeles, CA 90048-3401
Mailing Address500 Homewood RdLos Angeles, CA 90049-1906 · (310) 472-2983 · Fax (310) 472-0832
Phone(323) 653-8622
Fax(323) 658-6773
Sole ProprietorYes
Enumeration DateJune 5, 2007
Last NPPES UpdateJuly 18, 2007
✔ NPI 1215139647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in CA · AFE17621
8405 BEVERLY BLVD, Los Angeles, CA 90048
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIE ABELLANOSA RN
Registered Nurse
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 653-1990
JUSTO SAUL GALICIA RN
Registered Nurse (Community Health)
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 653-1990
QUINN VI TANG P.A., L.AC., DACM
Physician Assistant
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 653-1990
DEEPTHI DEVIREDDY DDS
Dentist
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 653-1990
JANKI THAKORBHAI PATEL
Pharmacist
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 653-1990
TARA ABRAMS NP
Nurse Practitioner (Acute Care)
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (562) 335-7332
JOCELYNN MARIE ORTEGA-GONZALEZ D.M.D
Dentist
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 653-8622
DR. VALERIE S THADHANI MD
Internal Medicine
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Los Angeles County (323) 653-1990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Elconin's NPI number?

The NPI number for Kenneth Elconin is 1215139647. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Kenneth Elconin located?

Kenneth Elconin practices at 8405 Beverly Blvd, Los Angeles, CA 90048. The listed phone number is (323) 653-8622.

What is Kenneth Elconin's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Kenneth Elconin was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.