ZACKRY CALVIN ELLIS

NEWPORT BEACH, CA
NPI1366536278
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  PA18593)
Enumeration Date2006-10-03
Last Update Date2021-10-23
Business Address
Mr. ZACKRY CALVIN ELLIS PA-C
307 PLACENTIA AVE STE 111
NEWPORT BEACH, CA 92663-3307
Phone number: 949-722-1112
Mailing Address
Mr. ZACKRY CALVIN ELLIS PA-C
307 PLACENTIA AVE STE 111
NEWPORT BEACH, CA 92663-3307
Phone number: 949-722-1112