Ellison, Ronald L

Ellison, Ronald L is an individual health care provider with primary practice located at 352 Costa Mesa St , Costa Mesa CA 92627-2355. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ellison, Ronald L can be contacted via phone (714) 293-9950.

Contact Information

Primary practice address
352 Costa Mesa St Costa Mesa CA 92627-2355
Phone: (714) 293-9950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10402 California

Profile Details

NPI number 1871501254
LBN Legal business name Ellison, Ronald L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 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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