SearchCalifornia101YA0400X

Michael Ellis

NPI 1609311315 · on the registry since 2017

Practice

Address
1222 Monaco Ct
#28
Stockton, CA 95207
Phone
(209) 644-6328
Fax
(209) 644-6308
Clinicians at this address
8

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Male
Record last updated
2017-01-04

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