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NPI Code Detail

MEDICARE: DR. ANTOINE JEAN ELHAJJAR M.D.

MEDICARE:  DR. ANTOINE JEAN ELHAJJAR  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RS0012XSleep Medicine (Internal Medicine) PhysicianA53481CA
22084N0400XNeurology PhysicianA53481CA
3261QS1200XSleep Disorder Diagnostic Clinic/Center
4174400000XSpecialistA53481CA

General Provider Information

NPI Number : 1558328203
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTOINE JEAN ELHAJJAR M.D.
Provider Business Mailing Address
First Line : 46100 WASHINGTON ST
Second Line :
City : LA QUINTA
State : CA
Zip : 92253-2042
Country : US
Telephone Number : 760-340-0528
Fax Number : 760-674-1590
Provider Business Practice Location Address
First Line : 46100 WASHINGTON ST
Second Line :
City : LA QUINTA
State : CA
Zip : 92253-2042
Country : US
Telephone Number : 760-340-0528
Fax Number : 760-674-1590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 07/07/2020

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Directions to “ DR. ANTOINE JEAN ELHAJJAR M.D.” Practice Location

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