Provider Demographics
NPI:1306814959
Name:ENGLISH, ELEA D (MD)
Entity type:Individual
Prefix:
First Name:ELEA
Middle Name:D
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:41230 11TH ST W
Mailing Address - Street 2:SUITE #D
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-1411
Mailing Address - Country:US
Mailing Address - Phone:661-272-1400
Mailing Address - Fax:661-272-9499
Practice Address - Street 1:41230 11TH ST W
Practice Address - Street 2:SUITE #D
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-1411
Practice Address - Country:US
Practice Address - Phone:661-272-1400
Practice Address - Fax:661-272-9499
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2007-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA33623207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA33623OtherSTATE LICENSE
CAA27203Medicare UPIN