Provider Demographics
NPI:1003569583
Name:BRESSLOUR-RASHAP, ELAN HARDER (MD)
Entity type:Individual
Prefix:DR
First Name:ELAN
Middle Name:HARDER
Last Name:BRESSLOUR-RASHAP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELAN
Other - Middle Name:
Other - Last Name:BRESSLOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:442 D AVE
Mailing Address - Street 2:
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-1760
Mailing Address - Country:US
Mailing Address - Phone:401-248-4532
Mailing Address - Fax:
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1098
Practice Address - Country:US
Practice Address - Phone:619-532-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-03
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101279395171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider