Organization · Type 2 NPI

Ellison Medical Group Vein Treatment Center

Specialist · San Diego, CA

NPI number 1033614706 Active

Practice location

5330 Carroll Canyon Rd Ste 140
San Diego, CA 92121-3758

Call (669) 201-0667 Map

Fax (818) 616-6046

Mailing address

244 Madison Ave Ste 141
New York, NY 10016-2817

Other practice locations

  • 1117 Route 46 Ste 205, Clifton, NJ 07013-2450 · (669) 201-0667

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1033614706

Ellison Medical Group Vein Treatment Center's National Provider Identifier is 1033614706, issued on Mar 26, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Diego, CA. The record was last updated on Jun 24, 2026.