Individual
ELIZABETH SERRELL MENKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G48270
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G48270
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
G48270
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639241383
—
CA
Enumeration date
11/15/2006
Last updated
11/08/2011
Update your record
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