# ELLY LAROQUE M.D., PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467702969
- **Authorized official:** DR. ELLY LAROQUE M.D. (OWNER)
- **Authorized official phone:** (415) 776-7878

## Contact information

- **Practice address:** 2299 POST ST, STE 107, SAN FRANCISCO, CA 94115-3443
- **Practice address phone:** (415) 776-7878
- **Mailing address:** 2299 POST ST, STE 107, SAN FRANCISCO, CA 94115-3443
- **Mailing address phone:** (415) 776-7878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A79971 | CA | Yes |

## Other

- **Enumeration date:** 09/12/2012
- **Last updated:** 11/02/2012