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NPI Code Detail

MEDICARE: ELIA PIZANO

MEDICARE: ELIA PIZANO
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
1172V00000XCommunity Health Worker
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1699574673
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIA PIZANO
Provider Business Mailing Address
First Line : 200 BROADWAY ST STE 70
Second Line :
City : KING CITY
State : CA
Zip : 93930-2866
Country : US
Telephone Number : 831-386-6868
Fax Number : 831-386-6843
Provider Business Practice Location Address
First Line : 200 BROADWAY ST STE 70
Second Line :
City : KING CITY
State : CA
Zip : 93930-2866
Country : US
Telephone Number : 831-386-6805
Fax Number : 831-386-6843
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2025
Last Update Date : 05/14/2026

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Directions to “ ELIA PIZANO ” Practice Location

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