Provider Demographics
NPI:1184795296
Name:DEMBO-SMEATON, ELENA M (MD)
Entity type:Individual
Prefix:MS
First Name:ELENA
Middle Name:M
Last Name:DEMBO-SMEATON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7120 ROCK VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-2737
Mailing Address - Country:US
Mailing Address - Phone:858-450-5900
Mailing Address - Fax:
Practice Address - Street 1:8950 VILLA LA JOLLA DR STE C129
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1707
Practice Address - Country:US
Practice Address - Phone:858-450-5900
Practice Address - Fax:858-450-5903
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-11
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA82203207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine