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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952354607 NPPES
California MEDICAID 00G233370

Popular Providers