Individual
ELIZABETH SIACUNCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1481
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1481
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A159671
CA
207P00000X
Emergency Medicine Physician
Primary
T2982
TX
Other
Enumeration date
06/05/2017
Last updated
08/11/2025
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