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Individual

MRS. ANA LUISA ELIZONDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
4010 SORRENTO VALLEY BLVD, SUITE 300, SAN DIEGO, CA 92121-1432
(858) 793-7860
(858) 436-1289
Mailing address
6699 ALVARADO RD, STE 2100, SAN DIEGO, CA 92120-5238
(619) 229-3909
(619) 229-3902

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 21304
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CB219438
MEDICARE PTAN
CA
Enumeration date
04/10/2008
Last updated
10/31/2016
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