NPI 1003104936

Margaret V Elizondo Medical Corporation

Organisation Specialist San Diego, CA

Practice location

Address: 7860 Forrestal Rd, San Diego, CA 92120-2207
Phone: (619) 507-4652
Mailing address: PO Box 2993, La Mesa, CA 91943-2993

Authorised official

Name: Margaret V Elizondo
Title: President
Phone: (619) 507-4652

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence G71918 (CA)

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Registry record

NPI: 1003104936
Entity type: Organization
NPI issued: 12 Jul 2011
Record last updated: 12 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.