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Individual
MR. JOHN MICHAEL ELLIS
Active
Individual
MR. JOHN MICHAEL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 9557
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11458741
CAQH
CA
Enumeration date
03/08/2006
Last updated
07/13/2026
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