Charles Martin Elboim in Santa Rosa - Vascular Surgery
Charles Martin Elboim - NPI 1770672610
Charles Martin Elboim is a Vascular Surgery in Santa Rosa, California. Charles Martin Elboim practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Charles Martin Elboim is 1770672610. The last update date is 2021-01-25.
Charles Martin Elboim's current location address is 121 Sotoyome St, Santa Rosa, California. You can contact this provider via phone number 7075256180 and fax number 7075213854. The mailing address for Charles Martin Elboim is 121 Sotoyome St, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Martin Elboim |
|---|---|
| Address | 121 Sotoyome St, Santa Rosa, California |
| Phone Number | 7075256180 |
| Fax Number | 7075213854 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770672610 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2021-01-25 |
Provider Mailing Address Detail
| Address | 121 Sotoyome St |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954054823 |
| Phone Number | 7075256180 |
| Fax Number | 7075213854 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | C41968 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00C419680 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charles Martin Elboim?
The Charles Martin Elboim has been issued the NPI (National Provider Identifier) 1770672610 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Charles Martin Elboim is physically located?
The Charles Martin Elboim is situated at the following address: 121 Sotoyome St, Santa Rosa, CA 954054823.
What is Charles Martin Elboim's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles Martin Elboim is Vascular Surgery, and the taxonomy code that classifies this field of practice is 2086S0129X.
On what date did Charles Martin Elboim receive its 1770672610 assignment from the Centers for Medicare & Medicaid Services?
The Charles Martin Elboim was assigned its 1770672610 on 2006-10-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Charles Martin Elboim, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Charles Martin Elboim, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-01-25.
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