Organization
ELEMENTAL TELEHEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY BRUCIA PH.D. (CEO)
(626) 594-6548
Entity
Organization
Contact information
Practice address
3030 BRIDGEWAY STE 101, SAUSALITO, CA 94965-2810
(626) 594-6548
Mailing address
3030 BRIDGEWAY STE 101, SAUSALITO, CA 94965-2810
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
04/09/2020
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