Provider Demographics
NPI:1689611923
Name:ABAD-PELSANG, ELMA (MD)
Entity Type:Individual
Prefix:DR
First Name:ELMA
Middle Name:
Last Name:ABAD-PELSANG
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 1:847 AMERICA WAY
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-3916
Mailing Address - Country:US
Mailing Address - Phone:858-999-7089
Mailing Address - Fax:706-434-8876
Practice Address - Street 1:847 AMERICA WAY
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3916
Practice Address - Country:US
Practice Address - Phone:858-999-7089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA46584207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A465840Medicaid
CA00A465840Medicaid
E23879Medicare UPIN