Menkin, Elizabeth Serrell

Menkin, Elizabeth Serrell is an sole proprietor health care provider with primary practice located at 4311 Third Avenue , San Diego CA 92103-1407. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Menkin, Elizabeth Serrell can be contacted via phone (619) 688-1600.

Contact Information

Primary practice address
4311 Third Avenue San Diego CA 92103-1407
Phone: (619) 688-1600
Fax: (619) 278-6140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X G48270 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G48270 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X G48270 California

Profile Details

NPI number 1639241383
LBN Legal business name Menkin, Elizabeth Serrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Nov 8th, 2011 - about 15 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 1639241383 NPPES
California MEDICAID 1639241383

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