Individual
ELAINE LA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2 ADA STE 100, IRVINE, CA 92618-5324
(949) 923-3250
(855) 812-5865
Mailing address
11 TECHNOLOGY DR, IRVINE, CA 92618-2302
(949) 923-3250
(855) 812-5865
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20945
CA
Other
Enumeration date
10/13/2010
Last updated
02/21/2017
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