Mark H. Ellis
Pediatric Allergist
455 S Main St
Orange
, California 92868-3835
Mark H. Ellis
Pediatric Allergist
455 S Main St
Orange
, California 92868-3835
(714) 289-4788
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About
Features
Specialties
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Mark H. Ellis
- 455 S Main St
- Orange, CA
- Zip : 92868-3835
- Fax : (714) 289-4788
- Phone : (714) 289-4511
Second Address
- Mark H. Ellis
- 455 S Main St
- Orange, CA
- Zip : 92868-3835
- Fax : (714) 289-4788
- Phone : (714) 289-4511
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0201X | Pediatric Allergist | C41445 | CA |
National Provider Identifier
| NPI | 1568569424 |
|---|---|
| Provider Name | Mark H. Ellis |
| First Address | Orange, CA 92868-3835 |
| Second Address | Orange, CA 92868-3835 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00C414450 | (05) | CA |
| A88246 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.