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Organization
SAINT ELIAS MEDICAL GROUP
Active
Organization
SAINT ELIAS MEDICAL GROUP
Active
Other names
ELITE FAMILY MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MAHER I DANHASH MD (OWNER)
(909) 498-6293
Entity
Organization
Contact information
Practice address
1183 E FOOTHILL BLVD STE 135, UPLAND, CA 91786-4082
(909) 498-6293
Mailing address
1183 E FOOTHILL BLVD STE 135, UPLAND, CA 91786-4082
(909) 498-6293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
09/09/2021
Last updated
10/20/2021
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