Provider Demographics
NPI:1003198813
Name:GALPERIN, ELENA (LAC)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:GALPERIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3316 ADAMS AVE
Mailing Address - Street 2:APT 9
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-1862
Mailing Address - Country:US
Mailing Address - Phone:858-752-4261
Mailing Address - Fax:
Practice Address - Street 1:2602 1ST AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-6529
Practice Address - Country:US
Practice Address - Phone:858-752-4261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11650171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist