Ellner Bariatric Inc

NPI 1043330277 - Specialist - 174400000X

NPI Details
NPI 1043330277
Enumeration Date 03/30/2007
Last Updated 10/27/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JULIE A JULIE
Position OWNER
Phone (619) 286-7866
Fax (619) 286-7867
Practice Location
5555 RESERVOIR DR
203
SAN DIEGO CA, 92120-5134, US
Phone (619) 286-7866
Fax (619) 286-7867
Business Location
5555 RESERVOIR DR
203
SAN DIEGO CA, 92120-5134, US
Phone (619) 286-7866
Fax
Toxanomy
Taxonomy Code 174400000X
License State California
License Number G85289
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According to our database, Ellner Bariatric Inc NPI is 1043330277, taxonomy code is 174400000X and license number is G85289, license state is located at California. Ellner Bariatric Inc physically located at 5555 Reservoir Dr, San Diego CA, 92120-5134. NPI Number 1033115704 has the healthcare provider type.

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1043330277 NPI number is provided on an as is basis without warranty of any kind. 1043330277 is maintained by the National Plan & Provider Enumeration System. The contents of Ellner Bariatric Inc are for informational purposes only.