Individual
DR. BRIAN ALLEN ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8670 WILSHIRE BLVD STE 101, BEVERLY HILLS, CA 90211-2930
(310) 358-2100
Mailing address
3333 S LA CIENEGA BLVD, LOS ANGELES, CA 90016-4316
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
281766
MA
2085R0202X
Diagnostic Radiology Physician
Primary
A183776
CA
Other
Enumeration date
06/14/2017
Last updated
06/02/2025
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