Organization
JENNIFER A ELLICE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELLICE MD (MD)
(310) 365-9428
Entity
Organization
Contact information
Practice address
1460 7TH ST STE 205, SANTA MONICA, CA 90401-2631
(310) 310-8031
(949) 816-1967
Mailing address
1460 7TH ST STE 205, SANTA MONICA, CA 90401-2631
(310) 310-8031
(949) 816-1967
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
08/04/2026
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