NPI 1174175889

Zach Ellis, BT

Practitioner Other Technician Los Angeles, CA

Practice location

Address: 3424 Motor Ave, Los Angeles, CA 90034-4710
Phone: (310) 916-7850
Mailing address: 1368 S Ridgeley Dr, Los Angeles, CA 90019-2659

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in California →

Registry record

NPI: 1174175889
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2019
Record last updated: 12 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.