| Organization Name: | ELIZABETH REMEDIOS MD INC |
| NPI Number: | 1457676793 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH REMEDIOS (PRESIDENT) |
| Mailing Address: | 423 W Colorado St Glendale |
| State: | CA US |
| Postal Code: | 912041537 |
| Phone Number: | 8185078022 |
| Fax Number: | 8185078185 |
| NPI Enumeration Date: | 03/30/2010 |
| NPI Last Update Date: | 12/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G55283 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |