| Elahe Toulouie Md Inc | |
|
1580 N 2nd St El Cajon CA 92021-3447 | |
| (619) 447-2425 | |
| (619) 487-0538 |
| Full Name | Elahe Toulouie Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1580 N 2nd St, El Cajon, California |
| Authorized Official Name and Position | Elahe Toulouie (PRESIDENT) |
| Authorized Official Contact | 6194613150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elahe Toulouie Md Inc 1580 N 2nd St El Cajon CA 92021-3447 Ph: (619) 447-2425 | Elahe Toulouie Md Inc 1580 N 2nd St El Cajon CA 92021-3447 Ph: (619) 447-2425 |
| NPI Number | 1770689382 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 02/08/2024 |
| Medicare PECOS PAC ID | 3678527454 |
|---|---|
| Medicare Enrollment ID | O20050303001056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770689382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A73141 (California) | Primary |
| Provider Name | Elahe Toulouie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235197856 PECOS PAC ID: 8123072907 Enrollment ID: I20050304000403 |
| Provider Name | De Courcy E Luckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023410578 PECOS PAC ID: 5294059309 Enrollment ID: I20150121000111 |
| Provider Name | Stacy Nicole Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679123418 PECOS PAC ID: 4789014796 Enrollment ID: I20200415000672 |
| Provider Name | Sheila N/a Madgedi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487262275 PECOS PAC ID: 0042611907 Enrollment ID: I20210629002725 |
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