Charles, Elvia L

Charles, Elvia L is an individual health care provider with primary practice located at 4004 Beyer Blvd , San Ysidro CA 92173-2007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Charles, Elvia L can be contacted via phone (619) 428-4463.

Contact Information

Primary practice address
4004 Beyer Blvd San Ysidro CA 92173-2007
Phone: (619) 428-4463
Fax: (619) 428-2625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17240 California

Profile Details

NPI number 1558445411
LBN Legal business name Charles, Elvia L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Dec 18th, 2007 - about 19 years ago

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 1558445411 NPPES
Other FHC18880F MEDICAL

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