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Amanda Ellison

NPI 1750698023 · on the registry since 2010

Practice

Address
14901 Adelfa Dr
La Mirada, CA 90638
Phone
(909) 536-0110
Organisation at this address
Living Connected Mbs, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225400000X
225400000X
Also registered as
104100000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California