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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELAINE THERESE VAN GUNDY, M.D., F.A.A.P.

Active Sole Proprietor

ELAINE THERESE VAN GUNDY, M.D., F.A.A.P. is a Specialist healthcare provider located in ROSEVILLE, California. NPI 1174565485 is currently active in the NPPES registry. Verify at CMS.

Specialist · ROSEVILLE, CA

Registration Details

NPI Number
1174565485
Provider Type
Individual
Gender
Female
NPI Issued
Jun 12, 2006 (20.18157682701 yrs)
Last Updated
Jul 9, 2007
License
C43153 (CA)
Sole Proprietor
Yes

Practice Information

Address
1451 SECRET RAVINE PKWY
SUITE 150
ROSEVILLE, CA, 956614051
Browse CA providers · Browse ZIP 95661
Phone
9165802420
Fax
9165802402
Primary Specialty
Specialist
174400000X

Other Specialist Providers in ROSEVILLE, CA

Name Credential NPI
MRS. GERRY KATHLEEN SHEA L.C.S.W. 1376540757
DR. ALAN A SEMION MD 1235131301
DR. KEVIN THOMAS LUONG MD 1700873320
DR. KEVIN PAUL HANSEN MD 1689661225
DR. THOMAS CRAIG MERCHANT MD 1437146255
DOUGLAS MENZIES HASELWOOD M.D. 1558309039
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.