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Individual

GEORGE N ELIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
45 SUMMERLAND CIR, ALISO VIEJO, CA 92656-1628
(949) 633-2862
(419) 229-0040
Mailing address
45 SUMMERLAND CIR, ALISO VIEJO, CA 92656-1628
(949) 633-2862
(419) 229-0040

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37.077334
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A858460
CA
05
2436957
OH
Enumeration date
01/19/2006
Last updated
05/02/2013
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