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
1450 10TH ST STE 300, SANTA MONICA, CA 90401-2831
(310) 310-8031
(310) 861-1753
Mailing address
1450 10TH ST STE 300, SANTA MONICA, CA 90401-2831
(310) 310-8031
(310) 861-1753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/24/2025
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