Elfenbaum, Marcia Elana

Elfenbaum, Marcia Elana is an sole proprietor health care provider with primary practice located at 4282 Genesee Ave Suite 304, San Diego CA 92117-4946. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Elfenbaum, Marcia Elana can be contacted via phone (858) 514-4116.

Contact Information

Primary practice address
4282 Genesee Ave Suite 304 San Diego CA 92117-4946
Fax: (858) 514-4118
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X A63369 California

Profile Details

NPI number 1184640583
LBN Legal business name Elfenbaum, Marcia Elana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1184640583 NPPES
California MEDICAID 00A633690

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