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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265410013 | NPPES |
| California | Other | ZZZ31887Z | GROUP PTAN |
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