Tatyana Vasilievna Ellison
ActiveCalifornia license A129792
License
- Licensed by
- Medical Board of California
- License number
- A129792
- Status
- Active (Current)
- First issued
- April 14, 2014
- Expires
- May 31, 2027
- License holder
- Tatyana Vasilievna Ellison
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1 Hoag Dr
Newport Beach, CA 92663-4162
Newport Beach, CA 92663-4162
Orange County