Individual
BRETT JACOB ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
900 UNIVERSITY AVE, RIVERSIDE, CA 92521-3927
(951) 827-9197
(951) 827-7669
Mailing address
5100 QUAIL RUN RD APT 416, RIVERSIDE, CA 92507-6068
(916) 879-7887
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A20588
CA
Other
Enumeration date
04/26/2021
Last updated
07/29/2025
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