| Doctor Name: | ALICIA ELLER |
| NPI Number: | 1003207812 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PA51998 |
| Business Practice Address: | 2573 W Florida Ave Hemet, CA - 92545 |
| Business Phone Number: | 9516587284 |
| Business Fax Number: | |
| Mailing Address: | 2573 W Florida Ave, HEMET |
| State: | CA |
| Postal Code: | 92545 |
| Phone Number: | 9516587284 |
| Fax Number: | 9517665004 |
| NPI Enumeration Date: | 02/16/2015 |
| NPI Last Update Date: | 02/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA51998 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |