person
Ronald L Ellison, PA
Medical Physician Assistant in Costa Mesa, California
NPI 1871501254

Ronald L Ellison is a Medical Physician Assistant based in Costa Mesa, CA and is specialized in Medical. Ronald L Ellison practices in Costa Mesa, CA and has the professional credentials of PA. The NPI Number for Ronald L Ellison is 1871501254 and holds a License No. 10402 (California).

The current practice location address for Ronald L Ellison is 352 Costa Mesa St, Costa Mesa, CA and can be reached out via phone at 714-293-9950.

Location: 352 Costa Mesa St, Costa Mesa, CA, 92627-2355
person
Provider Profile Details
NPI Number
1871501254
Provider Name
Ronald L Ellison
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
352 Costa Mesa St, Costa Mesa, CA, 92627-2355
Phone Number
714-293-9950
Fax Number
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
352 Costa Mesa St
City
State
Zip
92627-2355
Phone Number
714-293-9950
Fax Number
person
Provider Business Mailing Address Details
Address
352 Costa Mesa St
City
State
Zip
92627-2355
Phone Number
714-293-9950
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10402 (California)
Definition
Definition to come...
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