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Individual

MARK H ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A26035
CA
207RI0200X
Infectious Disease Physician
Primary
A26035
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A260350
CA
Enumeration date
10/06/2006
Last updated
09/11/2025
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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