Ellis, Richard R.
Ellis, Richard R. is an individual health care provider with primary practice located at 1300 W. 7Th Street , San Pedro CA 90732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ellis, Richard R. can be contacted via phone (310) 514-5250.Contact Information
Primary practice address
1300 W. 7Th Street
San Pedro CA 90732
Phone: (310) 514-5250
Fax: (310) 514-5445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G23337 | California |
Profile Details
| NPI number | 1952354607 |
|---|---|
| LBN Legal business name | Ellis, Richard R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jan 27th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952354607 | NPPES |
| California | MEDICAID | 00G233370 |
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