Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | A107354 | CA |
NPI | 1093904302 |
---|---|
Provider Name | Dr. Mark E. Elzik |
First Address | Mission Viejo, CA 92691-6364 |
Second Address | Mission Viejo, CA 92691-6364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2007 |
Last Update Date | 17/02/2020 |