Basic Information
Provider Information
NPI: 1639249634
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SZAMBELAN
FirstName: ELZBIETA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 2757
Address2:  
City: ORANGE
State: CA
PostalCode: 928590757
CountryCode: US
TelephoneNumber: 7149732650
FaxNumber: 7149732655
Practice Location
Address1: 1150 N INDIAN CANYON DR
Address2:  
City: PALM SPRINGS
State: CA
PostalCode: 922624872
CountryCode: US
TelephoneNumber: 7603236158
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/08/2006
LastUpdateDate: 12/13/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XA61622CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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