Ellie Ross | Santa Monica, CA • PECOS Search

Ellie Ross

Marriage & Family Therapist

Behavioral Health & Social Service Providers

2730 Wilshire Blvd, Suite 350, Santa Monica, CA 90403-4743

PECOS Enrollment

Based on the most recent information from CMS, provider Ellie Ross does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1518260215
Provider Type
Individual
Full Name
Ross, Ellie
Credential
M.F.T.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/18/2010
Last Updated
12/18/2010

Contact Information

Practice Location

2730 Wilshire Blvd, Suite 350, Santa Monica, CA 90403-4743

Unlisted Fax

Mailing Location

1404 Floresta Pl, Pacific Palisades, CA 90272-2350

(310) 230-1773

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC31639 California