Individual ProviderFadi EliaDentistDental ProvidersPractice Address2907 Jamacha Rd Ste B, El Cajon, CA 92019-4342(619) 660-2424(619) 733-8278PECOS EnrollmentBased on the most recent information from CMS, provider Fadi Elia does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1235748336Provider TypeIndividualFull NameElia, FadiTitleDr.GenderMaleSole ProprietorYesEnumeration Date7/24/2020Last Updated2/4/2022Contact InformationPractice LocationPractice Address2907 Jamacha Rd Ste B, El Cajon, CA 92019-4342Phone(619) 660-2424FaxUnlisted FaxMailing LocationMailing Address3185 Rio Way, Spring Valley, CA 91977-2861Phone(619) 733-8278FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense105073California