Individual
ELIO LEAVITT GIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3150
(510) 601-3989
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3150
(510) 601-3989
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A549520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
542125573
CRANIOFACIAL MEDICAL ASSO
CA
05
—
GR0095820
—
CA
Enumeration date
07/17/2006
Last updated
12/14/2021
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