Individual
EDWARD L ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 POLLARD RD, LOS GATOS, CA 95032-1438
(408) 866-4060
(419) 866-5453
Mailing address
PO BOX 31001, PASADENA, CA 91110-2078
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A21796
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A217960
—
CA
Enumeration date
09/09/2005
Last updated
05/30/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us