Provider Demographics
NPI:1700862729
Name:JONES, ELAINE K (MD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:K
Last Name:JONES
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3333 SKYPARK DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TORRENCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:310-784-6316
Mailing Address - Fax:310-784-6314
Practice Address - Street 1:855 MANHATTAN BEACH BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-4965
Practice Address - Country:US
Practice Address - Phone:310-939-1886
Practice Address - Fax:310-939-7861
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2011-09-09
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Provider Licenses
StateLicense IDTaxonomies
CAG48022207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA50899Medicare UPIN
CAWG48022DMedicare PIN