Provider Demographics
NPI:1649257148
Name:SPOKOYNY, ELEONORA S (MD)
Entity type:Individual
Prefix:
First Name:ELEONORA
Middle Name:S
Last Name:SPOKOYNY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:25982 PALA
Mailing Address - Street 2:STE 150
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6719
Mailing Address - Country:US
Mailing Address - Phone:949-586-5500
Mailing Address - Fax:949-586-1600
Practice Address - Street 1:25982 PALA
Practice Address - Street 2:STE 150
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6719
Practice Address - Country:US
Practice Address - Phone:949-586-5500
Practice Address - Fax:949-586-1600
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA536622084N0400X, 2084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA0536620Medicaid
A53662Medicare ID - Type Unspecified
CAA0536620Medicaid