Individual
DR. ELENA FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12395 EL CAMINO REAL, #219, SAN DIEGO, CA 92130
(858) 793-1011
(858) 793-1035
Mailing address
3860 CALLE FORTUNADA, SUITE 200, SAN DIEGO, CA 92123
(858) 636-4300
(858) 636-4319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A78221
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A78221
MD LICENSE
CA
Enumeration date
03/21/2006
Last updated
02/01/2011
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