Provider Demographics
NPI:1548241599
Name:MCELROY, CARLA N (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:N
Last Name:MCELROY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:612 NARDITO LANE
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2306
Mailing Address - Country:US
Mailing Address - Phone:858-259-0359
Mailing Address - Fax:858-362-0622
Practice Address - Street 1:9850 GENESEE AVENUE
Practice Address - Street 2:SUITE 370
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1224
Practice Address - Country:US
Practice Address - Phone:858-362-0616
Practice Address - Fax:858-362-0622
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2011-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG57626208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC52023Medicare UPIN