Individual
DR. ELENI I CAPETANAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
865 3RD AVENUE, #101, CHULA VISTA, CA 91911
(619) 426-7910
(619) 426-4953
Mailing address
3860 CALLE FORTUNADA, SUITE 200, SAN DIEGO, CA 92123
(858) 636-4300
(858) 363-4319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A70397
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A70397
MD LICENSE
CA
Enumeration date
01/27/2006
Last updated
02/02/2011
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