Individual
LUZ ELENA CANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
359 SAN MIGUEL DR, SUITE 105, NEWPORT BEACH, CA 92660-7812
(949) 645-5933
(949) 645-4658
Mailing address
PO BOX 932, CORONA DEL MAR, CA 92625-5932
(949) 645-5933
(949) 645-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A054444
CA
2084N0400X
Neurology Physician
Primary
A05444
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A544441
—
CA
Enumeration date
07/14/2006
Last updated
09/20/2019
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