Provider Demographics
NPI:1033216999
Name:MAHLER, ELIZABETH J (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:J
Last Name:MAHLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:280 2ND ST STE 260
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-3629
Mailing Address - Country:US
Mailing Address - Phone:650-941-3000
Mailing Address - Fax:650-941-3030
Practice Address - Street 1:280 2ND ST STE 260
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-3629
Practice Address - Country:US
Practice Address - Phone:650-941-3000
Practice Address - Fax:650-941-3030
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2022-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG691822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F10875Medicare UPIN