Individual
GUADALUPE ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1030 INTERNATIONAL BLVD, OAKLAND, CA 94601
(510) 238-5400
(510) 238-5437
Mailing address
1515 FRUITVALE AVE, OAKLAND, CA 94601
(510) 535-4000
(510) 535-4128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12091
CA
Other
Enumeration date
09/06/2006
Last updated
08/11/2010
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