Agudelo, Eliana Z.

Agudelo, Eliana Z. is an individual health care provider with primary practice located at 350 Parnassus Avenue Suite 410 , San Francisco CA 94143-0001. 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. Agudelo, Eliana Z. can be contacted via phone (415) 353-2328.

Contact Information

Primary practice address
350 Parnassus Avenue Suite 410 San Francisco CA 94143-0001
Phone: (415) 353-2328
Fax: (415) 353-2407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16864 California

Profile Details

NPI number 1982646386
LBN Legal business name Agudelo, Eliana Z.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Jul 9th, 2007 - about 18 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 1982646386 NPPES
California MEDICAID 00PA168640

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