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Individual

JENNIFER ELLICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9333 IMPERIAL HWY, DOWNEY, CA 90242-2812
(833) 574-2273
Mailing address
1460 7TH ST STE 205, SANTA MONICA, CA 90401-2631
(310) 310-8031
(949) 816-1967

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LP00217
RI

Other

Enumeration date
04/16/2007
Last updated
08/04/2026
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