Ellis, Kimberly Maxine

Ellis, Kimberly Maxine is an sole proprietor health care provider with primary practice located at 2070 Century Park E , Los Angeles CA 90067-1907. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Ellis, Kimberly Maxine can be contacted via phone (424) 522-7100.

Contact Information

Primary practice address
2070 Century Park E Los Angeles CA 90067-1907
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 01122219 California

Profile Details

NPI number 1154073385
LBN Legal business name Ellis, Kimberly Maxine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2022
Last updated Jan 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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