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Individual

DR. RITA RENEE ELLITHORPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
13422 NEWPORT AVE, SUITE L, TUSTIN, CA 92780-3746
(714) 544-1521
(714) 544-1904
Mailing address
13422 NEWPORT AVE, SUITE L, TUSTIN, CA 92780-3746
(714) 544-1521
(714) 544-1904

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G83575
CA

Other

Enumeration date
08/15/2005
Last updated
03/07/2023
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