Simon-Fayard, Elba

Simon-Fayard, Elba is an individual health care provider with primary practice located at 11370 Anderson St Ste B-100, Loma Linda CA 92354-3450. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Simon-Fayard, Elba can be contacted via phone (909) 558-2848.

Contact Information

Primary practice address
11370 Anderson St Ste B-100 Loma Linda CA 92354-3450
Phone: (909) 558-2848
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A40389 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A40389 California

Profile Details

NPI number 1265452072
LBN Legal business name Simon-Fayard, Elba
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Feb 12th, 2024 - about 2 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 1265452072 NPPES
California MEDICAID 00A403890

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