Elias, Grace S

Elias, Grace S is an individual health care provider with primary practice located at 7117 Brockton Ave , Riverside CA 92506-2615. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Elias, Grace S can be contacted via phone (951) 782-3796.

Contact Information

Primary practice address
7117 Brockton Ave Riverside CA 92506-2615
Phone: (951) 782-3796
Fax: (951) 784-3263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X G45811 California

Profile Details

NPI number 1265410013
LBN Legal business name Elias, Grace S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Dec 2nd, 2011 - about 14 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 1265410013 NPPES
California Other ZZZ31887Z GROUP PTAN

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