Individual provider · Type 1 NPI

Ellie Grass

Student in an Organized Health Care Education/Training Program · Santa Ana, CA

NPI number 1679484976 Active

Practice location

600 W Santa Ana Blvd Ste 600
Santa Ana, CA 92701-4552

Call (714) 953-4455 Map

Fax (714) 542-2793

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679484976

Ellie Grass's National Provider Identifier is 1679484976, issued on Sep 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Ana, CA. The record was last updated on Sep 21, 2026.