Organization
JOSEPH ELISHA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ELISHA M.D. (PRESIDENT)
(714) 973-2650
Entity
Organization
Contact information
Practice address
78441 HIGHWAY 111, LA QUINTA, CA 92253-2076
(760) 564-7874
Mailing address
PO BOX 4259, CERRITOS, CA 90703-4259
(562) 407-2080
(562) 407-2082
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G79062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G79062
STATE LICENSE
CA
Enumeration date
12/16/2010
Last updated
04/26/2011
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