Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER ELSISSY, M.D.
ActiveDR. PETER ELSISSY, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in REDLANDS, California. NPI 1629281845 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · REDLANDS, CA
Registration Details
- NPI Number
- 1629281845
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2007 (19.317203344442 yrs)
- Last Updated
- Feb 24, 2020
- License
-
A100039 (CA)
Practice Information
- Address
-
1901 W LUGONIA AVE STE 120REDLANDS, CA, 923749704Browse CA providers · Browse ZIP 92374
- Phone
- 9095571600
- Fax
- 9095571731
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.