Most Relevant Information
Provider Data
NPI Number: | 1003343211 |
Provider Name: | ELYSE LAUREN GURAN |
Entity Type: | Individual |
Taxonomy Code: | 207L00000X |
Specialty: | Anesthesiology |
License Number: | A157862 |
Most Important Dates
Enumeration Date: | 05/18/2017 |
Last Updated: | 04/27/2022 |
Provider Practice Location
11234 ANDERSON ST
LOMA LINDA
CA
923542804
Practice Location Phone/Fax
Phone: | 9095584015 |
Fax: |
Provider Mailing Location
11234 ANDERSON ST STE C
LOMA LINDA
CA
923542804
Provider Mailing Phone/Fax
Phone: | 9095584015 |
Fax: |