Ellison, Tatyana
Ellison, Tatyana is an individual health care provider with primary practice located at 24012 Calle De La Plata Ste 430 , Laguna Hills CA 92653-7623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Ellison, Tatyana can be contacted via phone (949) 500-8833.Contact Information
Primary practice address
24012 Calle De La Plata Ste 430
Laguna Hills CA 92653-7623
Phone: (949) 500-8833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | BP10036836 | Texas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A129792 | California |
Profile Details
| NPI number | 1477868578 |
|---|---|
| LBN Legal business name | Ellison, Tatyana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2010 |
| Last updated | May 3rd, 2019 - about 6 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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