Individual
DR. JONATHAN C ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9090 WILSHIRE BLVD, SUITE 101, BEVERLY HILLS, CA 90211-1848
(310) 246-2520
(310) 659-6237
Mailing address
9090 WILSHIRE BLVD, SUITE 101, BEVERLY HILLS, CA 90211-1848
(310) 550-0400
(310) 285-0498
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G52023
CA
Other
Enumeration date
07/04/2006
Last updated
02/04/2014
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