Organization
JONATHAN C ELLIS MD INC
Active
Organization
JONATHAN C ELLIS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN C ELLIS MD (PRESIDENT)
(310) 246-2520
Entity
Organization
Contact information
Practice address
9090 WILSHIRE BLVD, BEVERLY HILLS, CA 90211-1848
(310) 246-2520
(310) 659-6237
Mailing address
9090 WILSHIRE BLVD, BEVERLY HILLS, CA 90211-1848
(310) 246-2520
(310) 659-6237
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G52023
CA
Other
Enumeration date
06/26/2006
Last updated
01/21/2014
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