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ELIZABETH ANNE WALDMAN D.O NPI 1699092338


NPI Information

NPI: 1699092338
Provider Name: ELIZABETH ANNE WALDMAN, D.O
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
17140 BERNARDO CENTER DR STE 300
SAN DIEGO, CA
ZIP 92128
Phone: (833) 783-7411
Get Directions

Elizabeth Anne Waldman, D.O is a child and adolescent psychiatry psychiatry neurology in San Diego, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Elizabeth Anne Waldman, D.O NPI is 1699092338. 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:

17140 BERNARDO CENTER DR STE 300
SAN DIEGO, CA
ZIP 92128-000
Phone: (833) 783-7411
Fax: (858) 716-8101

The NPI 1699092338 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2010 and was last updated on 3/17/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry13601CANo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry13601CALIFORNIAYes

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

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