IndividualActive
Mark Ellis, M.D.
NPI 1568569424 · Pediatric Allergy/Immunology Physician · Orange, CA
Provider details
- NPI number
- 1568569424
- Entity type
- Individual
- Primary specialty
- Pediatric Allergy/Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- C41445 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
455 S Main St
Orange, CA 92868-3835
Phone: (714) 289-4511
Fax: (714) 289-4788
Approximate (ZIP-level) locationGet directions
Mailing address
455 S Main St
Orange, CA 92868-3835
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.