Provider Demographics
NPI:1578996906
Name:ELEVATE HEALTH, INC
Entity Type:Organization
Organization Name:ELEVATE HEALTH, INC
Other - Org Name:ELEVATE PODIATRY AND SPA
Other - Org Type:Other Name
Authorized Official - Title/Position:PODIATRIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:415-890-3377
Mailing Address - Street 1:490 POST ST
Mailing Address - Street 2:SUITE 336
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1401
Mailing Address - Country:US
Mailing Address - Phone:415-890-3377
Mailing Address - Fax:415-795-4477
Practice Address - Street 1:490 POST ST
Practice Address - Street 2:SUITE 336
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1401
Practice Address - Country:US
Practice Address - Phone:415-890-3377
Practice Address - Fax:415-795-4477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-21
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4860213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty