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

Ellexis Khan, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1336671536

Ellexis Khan, MD is a Family Practice in Long Beach, California. Qualified in 2017, 9 years ago. Practices with Memorialcare Medical Foundation, a 562-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

450 E Spring St Ste 1
Long Beach, CA 90806-1625
Phone: (562) 933-0050
Fax: (562) 933-0079
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence A170410 (CA)

Record details

NPI number1336671536
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2017
Last updated in NPPESJuly 24, 2021
Certification dateJuly 24, 2021
Mailing address450 E Spring St Ste 1, Long Beach, CA 90806-1625

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Memorialcare Medical Foundation — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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