Individual
DR. JOSEPH ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8677 VILLA LA JOLLA DR, 1208, LA JOLLA, CA 92037-2354
(760) 845-0509
Mailing address
8677 VILLA LA JOLLA DR, 1208, LA JOLLA, CA 92037-2354
(760) 845-0509
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1979
CA
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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