Individual
AMBER ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 W SUNSET BLVD, LOS ANGELES, CA 90027-5861
(323) 671-2603
Mailing address
5000 W SUNSET BLVD, LOS ANGELES, CA 90027-5861
(323) 671-2603
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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