| Doctor Name: | DR. ELIZABETH ANN IRWIN |
| NPI Number: | 1346439288 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | G42532 |
| Business Practice Address: | 12 Dapplegray Ln Rolling Hills Estates, CA - 902744211 |
| Business Phone Number: | 3105307416 |
| Business Fax Number: | |
| Mailing Address: | 12 Dapplegray Ln, ROLLING HILLS ESTATES |
| State: | CA |
| Postal Code: | 902744211 |
| Phone Number: | 3105307416 |
| Fax Number: | |
| NPI Enumeration Date: | 10/16/2007 |
| NPI Last Update Date: | 10/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | G42532 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |