Provider Demographics
NPI:1134381536
Name:HOBEIKA, ELIE M (MD)
Entity type:Individual
Prefix:
First Name:ELIE
Middle Name:M
Last Name:HOBEIKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 E WASHINGTON BLVD
Mailing Address - Street 2:STE 202
Mailing Address - City:CRESCENT CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95531-8397
Mailing Address - Country:US
Mailing Address - Phone:707-464-6715
Mailing Address - Fax:
Practice Address - Street 1:780 E WASHINGTON BLVD
Practice Address - Street 2:STE 202
Practice Address - City:CRESCENT CITY
Practice Address - State:CA
Practice Address - Zip Code:95531-8397
Practice Address - Country:US
Practice Address - Phone:707-464-6715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA108245207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA108245OtherLICENSE