Individual provider · NPI-1

Dr. Jae Elkind

Pathology, Molecular Genetic Pathology · San Diego, CA

NPI number1922497700
StatusActive
Last updated in NPPESSep 1, 2021

Details

NPI
1922497700
Entity type
Individual (NPI-1)
Name
Dr. Jae Elkind
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 15, 2015
Certification date
Sep 1, 2021
Last updated
Sep 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0007X Pathology, Molecular Genetic PathologyA152642CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Phone 619-543-8254

Mailing address

Po Box 232410
San Diego, CA 92193-2410

Phone 800-926-8273

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pathology, Molecular Genetic Pathology providers in San Diego, CA