Individual
ELLEXIS KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 E SPRING ST STE 1, LONG BEACH, CA 90806-1625
(562) 933-0050
(562) 933-0079
Mailing address
450 E SPRING ST STE 1, LONG BEACH, CA 90806-1625
(562) 933-0050
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A170410
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB368477
MEDICARE
CA
Enumeration date
03/28/2017
Last updated
07/24/2021
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