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1841254141
DALE SAMUEL ELLIS
HUNTINGTON BEACH, CA
NPI
1841254141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A40971)
Enumeration Date
2006-04-13
Last Update Date
2007-07-08
Business Address
Dr. DALE SAMUEL ELLIS MD
18582 BEACH BLVD SUITE 23A
HUNTINGTON BEACH, CA 92648-2000
Phone number: 714-964-4448
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Mailing Address
Dr. DALE SAMUEL ELLIS MD
3400 AVENUE OF THE ARTS J422
COSTA MESA, CA 92626-2338
Phone number: 714-444-9958
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