Individual
ELIZABETH KABACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
10666 N TORREY PINES RD, SCRIPPS CLINIC, LA JOLLA, CA 92037-1092
(858) 554-3330
Mailing address
10666 N TORREY PINES RD, SCRIPPS CLINIC, LA JOLLA, CA 92037-1092
(858) 554-3330
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G86638
CA
207RC0000X
Cardiovascular Disease Physician
MD00040672
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8291791
—
WA
Enumeration date
03/03/2006
Last updated
07/08/2007
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