Individual
ELISHA KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3900 5TH AVE STE 110, SAN DIEGO, CA 92103-3122
(858) 554-1212
Mailing address
3900 5TH AVE STE 110, SAN DIEGO, CA 92103-3122
(858) 554-1212
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60293
CA
Other
Enumeration date
02/14/2022
Last updated
11/14/2024
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