Individual
ELLISON CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-3277
Mailing address
8108 LOREN LN, ROSEMEAD, CA 91770-3981
(626) 348-7859
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A186185
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2020
Last updated
07/12/2024
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