Organization
LUZ ELENA CANO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUZ ELENA CANO MD (PRESIDENT)
(949) 735-2309
Entity
Organization
Contact information
Practice address
359 SAN MIGUEL DR, SUITE 105, NEWPORT BEACH, CA 92660-7812
(949) 645-5933
(949) 645-4658
Mailing address
PO BOX 932, CORONA DEL MAR, CA 92625-5932
(949) 645-5933
(949) 645-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W22509
MEDICARE ID
CA
Enumeration date
04/23/2008
Last updated
09/20/2019
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