Organization
MARCIA ELFENBAUM, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA ELFENBAUM MD (OWNER)
(858) 514-4116
Entity
Organization
Contact information
Practice address
4282 GENESEE AVE, SUITE 304, SAN DIEGO, CA 92117-4963
(858) 514-4116
(858) 514-4118
Mailing address
PO BOX 927854, SAN DIEGO, CA 92192-7854
(858) 514-4116
(858) 514-4118
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
A63369
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A63369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A633690
—
CA
Enumeration date
02/21/2012
Last updated
03/27/2017
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