Ellis, Dale Samuel

Ellis, Dale Samuel is an sole proprietor health care provider with primary practice located at 18582 Beach Blvd Suite 23A, Huntington Beach CA 92648-2000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ellis, Dale Samuel can be contacted via phone (714) 964-4448.

Contact Information

Primary practice address
18582 Beach Blvd Suite 23A Huntington Beach CA 92648-2000
Phone: (714) 964-4448
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A40971 California

Profile Details

NPI number 1841254141
LBN Legal business name Ellis, Dale Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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