Pentheroudakis, Eleni
Pentheroudakis, Eleni is an individual health care provider with primary practice located at 5555 Grossmont Center Dr Emergency Department, La Mesa CA 91942-3019. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Pentheroudakis, Eleni can be contacted via phone (619) 740-4402.Contact Information
Primary practice address
5555 Grossmont Center Dr Emergency Department
La Mesa CA 91942-3019
Phone: (619) 740-4402
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | A75191 | California |
Profile Details
| NPI number | 1952349987 |
|---|---|
| LBN Legal business name | Pentheroudakis, Eleni |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Feb 18th, 2014 - about 11 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 | 1952349987 | NPPES |
| Pennsylvania | MEDICAID | 001899576 | |
| Pennsylvania | MEDICAID | 00A751910 |
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5555 Grossmont Center Dr Emergency Department, La Mesa CA 91942-3019