Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 105085 | MN |
N | 2084N0400X | Neurologist | 36390 | TN |
N | 2084N0400X | Neurologist | 53567 | MN |
Y | 2084N0400X | Neurologist | C155069 | CA |
N | 2084N0400X | Neurologist | ME123774 | FL |
NPI | 1033100722 |
---|---|
Provider Name | Elias A Giraldo |
First Address | Chino Hills, CA 91709-6368 |
Second Address | Colton, CA 92324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 10/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3876217 | (05) | TN |
ENROLLED | (05) | IA |
ENROLLED | (05) | MN |
H42561 | (02) |