Basic Information
| Provider Information | |||||||||
| NPI: | 1376618389 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ELSHIRE | ||||||||
| FirstName: | HARRY | ||||||||
| MiddleName: | DONEL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | III | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 34730 BOB WILSON DR | ||||||||
| Address2: | # 400 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921343098 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195327180 | ||||||||
| FaxNumber: | 6195327180 | ||||||||
| Practice Location | |||||||||
| Address1: | 34730 BOB WILSON DR | ||||||||
| Address2: | # 400 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921343098 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195327577 | ||||||||
| FaxNumber: | 6195327577 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/22/2006 | ||||||||
| LastUpdateDate: | 10/08/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | A40737 | CA | Y | Allopathic & Osteopathic Physicians | Surgery | 207Q00000X | A40737 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.