ELISSA SULLIVAN, MD
Pediatrics
Active
Individual
NPI: 1790216422
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Pediatrics | 208000000X | Yes | 169577 (CA) |
Frequently Asked Questions
NPI 1790216422 is the National Provider Identifier for ELISSA SULLIVAN, MD, a Pediatrics provider located in San Ysidro, CA. This NPI was enumerated on March 24, 2017.
ELISSA SULLIVAN, MD practices at 4050 BEYER BLVD, San Ysidro, CA 92173.
Quick Facts
- NPI
- 1790216422
- Type
- Individual
- Enumerated
- Mar 24, 2017
- Last Updated
- Aug 11, 2020
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