Individual
DAVID ELLSWORTH HJERPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45280 SEELEY DR, 1ST FLR / URGENT CARE, LA QUINTA, CA 92253-6834
(760) 610-7210
(760) 564-0101
Mailing address
72780 COUNTRY CLUB DR, BLDG B- 203, RANCHO MIRAGE, CA 92270-4126
(760) 674-3847
(760) 674-3845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G 80101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G801012
—
CA
Enumeration date
06/15/2006
Last updated
02/25/2016
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