MEDICARE: CHRISTOPHER ELORDE

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
1	363LF0000X	Family Nurse Practitioner	95027641	CA

General Provider Information

NPI Number	:	1932938511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER ELORDE

Provider Business Mailing Address
First Line	:	19116 BARROSO ST
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-3916
Country	:	US
Telephone Number	:	626-677-0347
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 N PALM CANYON DR
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4431
Country	:	US
Telephone Number	:	760-320-8005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2024
Last Update Date	:	07/31/2024

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Directions to “ CHRISTOPHER ELORDE ” Practice Location

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