Individual provider · Type 1 NPI
Christopher Lee Ellstrom, MD
Plastic and Reconstructive Surgery Physician · Newport Beach, CA
NPI number
1578853750
Active
Practice location
1441 Avocado Ave Ste 702
Newport Beach, CA 92660-7708
Mailing address
3334 E Coast Hwy # 521
Corona Del Mar, CA 92625-2328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | A125977 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
3 other providers at this address
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About NPI 1578853750
Christopher Lee Ellstrom, MD's National Provider Identifier is 1578853750, issued on Apr 9, 2011. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Newport Beach, CA. The record was last updated on Nov 2, 2018.