ELIZABETH SERRELL MENKIN MD NPI 1639241383

NPI Information

NPI: 1639241383
Provider Name: ELIZABETH SERRELL MENKIN, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
4311 THIRD AVENUE
SAN DIEGO, CA
ZIP 92103
Phone: (619) 688-1600
Get Directions

Elizabeth Serrell Menkin, MD is a geriatric medicine internal medicine in San Diego, CA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Elizabeth Serrell Menkin, MD NPI is 1639241383. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4311 THIRD AVENUE
SAN DIEGO, CA
ZIP 92103-407
Phone: (619) 688-1600
Fax: (619) 278-6140

The enumeration date for this NPI number is 11/15/2006 and was last updated on 11/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0002X	Internal Medicine	Hospice and Palliative Medicine	G48270	CALIFORNIA	No
2	207R00000X	Internal Medicine		G48270	CALIFORNIA	No
3	207RG0300X	Internal Medicine	Geriatric Medicine	G48270	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	F09905	MEDICARE UPIN
2	1639241383	MEDICAID	CALIFORNIA
3	BL351X	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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