Provider Demographics
NPI:1508132457
Name:ELBERS, JORINA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:JORINA
Middle Name:MARIA
Last Name:ELBERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 WELCH ROAD
Mailing Address - Street 2:SUITE 317
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1510
Mailing Address - Country:US
Mailing Address - Phone:650-724-3382
Mailing Address - Fax:650-723-7299
Practice Address - Street 1:750 WELCH ROAD
Practice Address - Street 2:SUITE 317
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1510
Practice Address - Country:US
Practice Address - Phone:650-724-3382
Practice Address - Fax:650-723-7299
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1204542084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology