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Individual

ELLIE MEHRDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
200 OCEANGATE STE 100, LONG BEACH, CA 90802-4317
(888) 562-5442
Mailing address
3857 BIRCH ST STE 3211, NEWPORT BEACH, CA 92660-2616
(714) 584-7878
(940) 220-3005

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95017569
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017569
CA

Other

Enumeration date
06/16/2021
Last updated
06/07/2024
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