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Individual

DORIS H. ELIAS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-9920
(858) 784-5922
Mailing address
FILE#54433, LOS ANGELES, CA 90074-0001
(858) 784-5906
(858) 784-5922

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16826
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PA16826
CA
Enumeration date
12/23/2005
Last updated
07/09/2007
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