Organization
JOHN G ELLIS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G ELLIS M.D. (PRESIDENT)
(951) 296-6676
Entity
Organization
Contact information
Practice address
40949 WINCHESTER RD, TEMECULA, CA 92591-6031
(951) 296-6676
(951) 296-6675
Mailing address
40949 WINCHESTER RD, TEMECULA, CA 92591-6031
(951) 296-6676
(951) 296-6675
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G70713
CA
Other
Enumeration date
12/03/2007
Last updated
02/20/2014
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