Individual
DR. ELIAS N MOUKARZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2109 WEST ROSS AVE, EL CENTRO, CA 92243-3685
(760) 352-4103
(760) 545-0258
Mailing address
1296 WESTWIND DR, EL CENTRO, CA 92243-4368
(760) 337-2928
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
C50303
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C503030
—
CA
01
—
W13536
GROUP PTAN
CA
Enumeration date
10/27/2006
Last updated
11/02/2016
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