Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellison Medical Group Vein Treatment Center

Organization Specialist · NPI 1033614706

Ellison Medical Group Vein Treatment Center is a Specialist in San Diego, California. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

5330 Carroll Canyon Rd Ste 140
San Diego, CA 92121-3758
Phone: (669) 201-0667
Fax: (818) 616-6046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1117 Route 46 Ste 205, Clifton, NJ 07013-2450 — (669) 201-0667

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1033614706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Nguyen — Owner · (332) 282-5622
NPI enumeratedMarch 26, 2018
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address244 Madison Ave Ste 141, New York, NY 10016-2817

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