Individual
DR. ELANA C. HARWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
77 CASA ST, 201, SAN LUIS OBISPO, CA 93405-5803
(805) 269-1500
(805) 269-1585
Mailing address
2050 S BLOSSER RD, SUITE A, SANTA MARIA, CA 93458-7310
(805) 361-8028
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G68268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G682680
BLUE SHIELD OF CA
CA
05
—
00G682680
—
CA
01
—
G68268
BLUE CROSS OF CA
CA
Enumeration date
07/09/2006
Last updated
09/07/2016
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