Idrogo, Elizabeth

Idrogo, Elizabeth is an individual health care provider with primary practice located at 483 N Aviation Blvd Bldg 210 , El Segundo CA 90245-2808. 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. Idrogo, Elizabeth can be contacted via phone (310) 653-6717.

Contact Information

Primary practice address
483 N Aviation Blvd Bldg 210 El Segundo CA 90245-2808
Phone: (310) 653-6717
Fax: (310) 653-6453
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1205481728
LBN Legal business name Idrogo, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2019
Last updated Feb 22nd, 2024 - about 10 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205481728 NPPES
Other 1205481728 TRICARE

Popular Providers