Brown, Elise Star

Brown, Elise Star is an individual health care provider with primary practice located at 8851 Center Dr Ste 600 , La Mesa CA 91942-3061. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Brown, Elise Star can be contacted via phone (619) 740-4971.

Contact Information

Primary practice address
8851 Center Dr Ste 600 La Mesa CA 91942-3061
Fax: (619) 740-4797
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G85861 California

Profile Details

NPI number 1801893201
LBN Legal business name Brown, Elise Star
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Sep 2nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801893201 NPPES
California MEDICAID 006G858610
California MEDICAID 800664442

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