Individual
CHRISTOPHER LEE ELLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 AVOCADO AVE STE 702, NEWPORT BEACH, CA 92660-7708
(949) 706-7886
Mailing address
3334 E COAST HWY # 521, CORONA DEL MAR, CA 92625-2328
(909) 910-9271
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A125977
CA
Other
Enumeration date
04/09/2011
Last updated
11/02/2018
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