Khan, Ellexis

Khan, Ellexis is an individual health care provider with primary practice located at 450 E Spring St Ste 1 , Long Beach CA 90806-1625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Khan, Ellexis can be contacted via phone (562) 933-0050.

Contact Information

Primary practice address
450 E Spring St Ste 1 Long Beach CA 90806-1625
Phone: (562) 933-0050
Fax: (562) 933-0079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X A170410 California

Profile Details

NPI number 1336671536
LBN Legal business name Khan, Ellexis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2017
Last updated Jul 24th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336671536 NPPES
California Other CB368477 MEDICARE

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