Individual provider · Type 1 NPI
Zackry Calvin Ellis, PA-C
Surgical Physician Assistant · Newport Beach, CA
NPI number
1366536278
Active
Practice location
307 Placentia Ave Ste 111
Newport Beach, CA 92663-3307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA18593 (CA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1366536278
Zackry Calvin Ellis, PA-C's National Provider Identifier is 1366536278, issued on Oct 3, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Newport Beach, CA. The record was last updated on Oct 23, 2021.