| | Physician Last Name: | Ellenbogen |
| | Physician First Name: | Richard |
| | Physician Middle Name: | |
| | Address: | 9201 Sunset Boulevard
Suite 202
Los Angeles, CA 90069 |
| | License Number: | 104764 |
| | License Type: | MD |
| | Year of Birth: |
1944
|
| | Effective Date: | 01/07/2013 |
| | Action Description for DOH Webpage: | The physician has agreed to never activate his registration or reapply for a license to practice medicine in New York State. |
| | Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been disciplined by the California State Medical Board for failing to maintain adequate patient records. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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