Individual
ELENA TITOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT-1, EKG TECH
Contact information
Practice address
34050 COUNTY LINE RD, YUCAIPA, CA 92399-2602
(909) 795-4259
(909) 795-4259
Mailing address
11284 DEMARET DR, BEAUMONT, CA 92223-7430
(909) 831-1083
(909) 795-4259
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT59788
CA
246W00000X
Cardiology Technician
—
—
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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