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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK H. ELLIS, M.D.

Active

MARK H. ELLIS, M.D. is a Pediatric Allergy/Immunology healthcare provider located in ORANGE, California. NPI 1568569424 is currently active in the NPPES registry. Verify at CMS.

Pediatric Allergy/Immunology · ORANGE, CA

Registration Details

NPI Number
1568569424
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2006 (19.922694340025 yrs)
Last Updated
Jul 8, 2007
License
C41445 (CA)

Practice Information

Address
455 S MAIN ST
ORANGE, CA, 928683835
Browse CA providers · Browse ZIP 92868
Phone
7142894511
Fax
7142894788
Primary Specialty
Pediatric Allergy/Immunology
2080P0201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.