Provider Demographics
NPI:1043412547
Name:AFIF GEORGE ELIAS, M.D.,INC.
Entity Type:Organization
Organization Name:AFIF GEORGE ELIAS, M.D.,INC.
Other - Org Name:ELIAS MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AFIF
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:ELIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-663-0300
Mailing Address - Street 1:9900 STOCKDALE HWY
Mailing Address - Street 2:STE 203
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-3632
Mailing Address - Country:US
Mailing Address - Phone:661-663-0300
Mailing Address - Fax:661-663-0903
Practice Address - Street 1:9900 STOCKDALE HWY
Practice Address - Street 2:STE 203
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3632
Practice Address - Country:US
Practice Address - Phone:661-663-0300
Practice Address - Fax:661-663-0903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ05100ZMedicare PIN