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

Keith Romalis Ellison, MA, ATC, CES

Individual provider Athletic Trainer · NPI 1568823318

Keith Romalis Ellison, MA, ATC, CES is an Athletic Trainer in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Partly verified

Some contact details are missing from the federal record.

One Lmu Drive Gersten Pavilion - Athletic Training Rm
Los Angeles, CA 90045
Phone: (424) 789-4071
Fax: (310) 338-4401
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (CA)

Record details

NPI number1568823318
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , ATC , CES
Sole proprietorYes
NPI enumeratedMarch 8, 2016
Last updated in NPPESMarch 8, 2016

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