Search › California › 101YA0400X
Larry Ellis, RADT
NPI 1205311339 · on the registry since 2018 · sole proprietor
Practice
- Address
- 800 S Victoria Ave
Ventura, CA 93009 - Phone
- (805) 766-5620
- Organisation at this address
- County Of Ventura
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California