| Elion Brace Md Inc | |
|
450 4th Ave Ste 408 Chula Vista CA 91910-4430 | |
| (619) 934-5767 | |
| (619) 691-5977 |
| Full Name | Elion Brace Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 450 4th Ave Ste 408, Chula Vista, California |
| Authorized Official Name and Position | Elion Brace (M.D.) |
| Authorized Official Contact | 7602752792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elion Brace Md Inc Po Box 211988 Chula Vista CA 91921-1988 Ph: (619) 836-3229 | Elion Brace Md Inc 450 4th Ave Ste 408 Chula Vista CA 91910-4430 Ph: (619) 934-5767 |
| NPI Number | 1760847586 |
|---|---|
| Provider Enumeration Date | 12/21/2015 |
| Last Update Date | 08/31/2021 |
| Medicare PECOS PAC ID | 8426350810 |
|---|---|
| Medicare Enrollment ID | O20160106001934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760847586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A105638 (California) | Primary |
| Provider Name | Jeremy R Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013913045 PECOS PAC ID: 0840236212 Enrollment ID: I20070827000442 |
| Provider Name | Elion Brace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184890782 PECOS PAC ID: 1052457108 Enrollment ID: I20120106000651 |
| Provider Name | Zhike Pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295086262 PECOS PAC ID: 6406139229 Enrollment ID: I20170201002015 |
| Provider Name | Kirk Anthony Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710406848 PECOS PAC ID: 8820334824 Enrollment ID: I20190111002541 |
| Provider Name | Ripal Chinubhai Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457720872 PECOS PAC ID: 1557678778 Enrollment ID: I20190312000424 |
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