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Individual

DR. JAMES J ELLINGSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-7799
Mailing address
5376 HARVEST RUN DR, SAN DIEGO, CA 92130-4876
(858) 350-9497

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A76851
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A768510
CA
Enumeration date
06/29/2006
Last updated
12/06/2021
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