MR. Zackry Calvin Ellis, PA-C is a surgical physician assistant in Newport Beach, CA with 18 years of experience. MR. Zackry Calvin Ellis, PA-C NPI is 1366536278. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
307 PLACENTIA AVE STE 111
NEWPORT BEACH, CA
ZIP 92663-307
Phone: (949) 722-1112
The NPI 1366536278 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/3/2006 and was last updated on 10/23/2021.