Individual
JESSICA RACHEL ELLINOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
582 MARKET ST STE 812, SAN FRANCISCO, CA 94104-5309
(415) 922-9122
Mailing address
582 MARKET ST STE 812, SAN FRANCISCO, CA 94104-5309
(415) 922-9122
(415) 920-9925
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A135240
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A135240
STATE MEDICAL LICENSE
CA
Enumeration date
04/10/2013
Last updated
03/07/2023
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