Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISSA KIM SULLIVAN, MD
ActiveELISSA KIM SULLIVAN, MD is a Pediatrics healthcare provider located in SAN YSIDRO, California. NPI 1790216422 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · SAN YSIDRO, CA
Registration Details
- NPI Number
- 1790216422
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2017 (9.2078374439164 yrs)
- Last Updated
- Aug 11, 2020
- License
-
169577 (CA)
Practice Information
- Address
-
4050 BEYER BLVDSAN YSIDRO, CA, 921732007Browse CA providers · Browse ZIP 92173
- Phone
- 6196624100
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in SAN YSIDRO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ANDREA M HERMAN | MD | 1518970037 |
| DR. TIMOTHY D SAHMS | MD | 1780697276 |
| HASMUKH L. SHETH | MD | 1396812236 |
| TINA SHAHIDYAZDANI | MD | 1891924858 |
| ALDO E RODRIGUEZ | M.D. | 1508209651 |
| ANDRES ALONSO GOMEZ GARZA | MD | 1609225853 |
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.