Individual
ELLOITT MERCER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24451 HEALTH CENTER DR, LAGUNA HILLS, CA 92653-3689
(949) 452-3573
Mailing address
PO BOX 2520, LAGUNA HILLS, CA 92654-2520
(949) 263-8620
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A23410
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A234100
—
CA
Enumeration date
05/18/2006
Last updated
07/08/2007
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