Provider Demographics
NPI:1891834206
Name:PIRA, MARIA ELAINE L (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA ELAINE
Middle Name:L
Last Name:PIRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA ELAINE
Other - Middle Name:L
Other - Last Name:LIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5850 MAIN ST
Mailing Address - Street 2:HUBERT HUMPHREY COMPREHENSIVE HEALTH CENTER
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90003
Mailing Address - Country:US
Mailing Address - Phone:323-846-4222
Mailing Address - Fax:
Practice Address - Street 1:5850 MAIN ST
Practice Address - Street 2:HUBERT HUMPHREY COMPREHENSIVE HEALTH CENTER
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90003
Practice Address - Country:US
Practice Address - Phone:323-846-4222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93132207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine