Individual
ELLIZE ERGINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-4148
Mailing address
20280 VIA NATALIE, YORBA LINDA, CA 92887-3155
(714) 728-0918
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
95000218
CA
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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