Elias, Thomas Glenn

Elias, Thomas Glenn is an individual health care provider with primary practice located at 2020 Genesee Ave , San Diego CA 92123-4219. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Elias, Thomas Glenn can be contacted via phone (858) 616-8400.

Contact Information

Primary practice address
2020 Genesee Ave San Diego CA 92123-4219
Phone: (858) 616-8400
Fax: (858) 569-0741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G45571 California
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X G45571 California

Profile Details

NPI number 1710092184
LBN Legal business name Elias, Thomas Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jun 19th, 2013 - about 12 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 1710092184 NPPES
California MEDICAID 00G455710

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