Organization
ELLNER BARIATRIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE A ELLNER MD (OWNER)
(619) 286-7866
Entity
Organization
Contact information
Practice address
2878 CAMINO DEL RIO S STE 303, SAN DIEGO, CA 92108-3847
(619) 286-7866
(619) 286-7867
Mailing address
2878 CAMINO DEL RIO S STE 303, SAN DIEGO, CA 92108-3847
(619) 286-7866
(619) 286-7867
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G85289
CA
Other
Enumeration date
03/30/2007
Last updated
03/02/2021
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