Individual
BROOKE ELCONIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PA-C
Contact information
Practice address
350 30TH ST STE 100, OAKLAND, CA 94609-3422
(510) 204-1844
Mailing address
1826 EDDY ST UNIT 102, SAN FRANCISCO, CA 94115-3947
(818) 522-5079
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
66102
CA
363A00000X
Physician Assistant
PA66102
CA
Other
Enumeration date
03/05/2025
Last updated
03/19/2025
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