Individual
JENNIFER ELLICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 10TH ST STE 300, SANTA MONICA, CA 90401-2831
(310) 310-8031
(949) 816-1967
Mailing address
1450 10TH ST STE 300, SANTA MONICA, CA 90401-2831
(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
04/11/2026
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