Diner, Elise L.
Diner, Elise L. is an individual health care provider with primary practice located at 2040 E Mariposa Ave , El Segundo CA 90245-5027. 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. Diner, Elise L. can be contacted via phone (310) 400-0645.Contact Information
Primary practice address
2040 E Mariposa Ave
El Segundo CA 90245-5027
Phone: (310) 400-0645
Fax: (424) 270-6232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA51307 | California |
Profile Details
| NPI number | 1902237894 |
|---|---|
| LBN Legal business name | Diner, Elise L. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2013 |
| Last updated | Dec 9th, 2019 - about 7 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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