| Dr Maurice James Warren Ellison, DC | |
|
2250 S Main St Ste 203, Corona, CA 92882-2506 | |
| (951) 737-1252 | |
| (951) 737-2820 |
| Full Name | Dr Maurice James Warren Ellison |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 2250 S Main St Ste 203, Corona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295580363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 35227 (California) | Primary |
| Provider Name | Integrated Medical Center Of Corona Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023400322 PECOS PAC ID: 4981904737 Enrollment ID: O20151130000961 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maurice James Warren Ellison, DC 2250 S Main St Ste 203, Corona, CA 92882-2506 Ph: (951) 737-1252 | Dr Maurice James Warren Ellison, DC 2250 S Main St Ste 203, Corona, CA 92882-2506 Ph: (951) 737-1252 |
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