Provider Demographics
NPI:1932364577
Name:VOJDANI, ELROY (MD)
Entity type:Individual
Prefix:DR
First Name:ELROY
Middle Name:
Last Name:VOJDANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11620 WILSHIRE BLVD STE 420
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-1779
Mailing Address - Country:US
Mailing Address - Phone:424-256-0272
Mailing Address - Fax:424-389-3797
Practice Address - Street 1:11620 WILSHIRE BLVD STE 420
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-1779
Practice Address - Country:US
Practice Address - Phone:424-256-0272
Practice Address - Fax:424-389-3797
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1107632085R0202X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology