| Doctor Name: | ELENA TITOVA |
| NPI Number: | 1366879041 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPT-1, EKG TECH |
| License Number: | |
| Business Practice Address: | 34050 County Line Rd Yucaipa, CA - 923992602 |
| Business Phone Number: | 9097954259 |
| Business Fax Number: | 9097954259 |
| Mailing Address: | 11284 Demaret Dr, BEAUMONT |
| State: | CA |
| Postal Code: | 922237430 |
| Phone Number: | 9098311083 |
| Fax Number: | 9097954259 |
| NPI Enumeration Date: | 09/26/2013 |
| NPI Last Update Date: | 09/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246W00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Cardiology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular diagnostic procedures. |