Elissa Kim Sullivan
MD | Pediatrics | Female
Elissa Kim Sullivan, MD is a San Ysidro, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Elissa Kim Sullivan is
4050 Beyer Blvd, San Ysidro, California - 92173-2007. She can be contacted on phone at
619-662-4100.
Elissa Kim Sullivan is a sole proprietor of her business.
NPI number (Unique professional ID) for Elissa Kim Sullivan is
1790216422 which was assigned by NPPES on 24 Mar, 2017 and it was last updated on 11 Aug, 2020.
Elissa Kim Sullivan license number is
169577 for Pediatrics (208000000X) in California.
Elissa Kim Sullivan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Elissa Kim Sullivan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Elissa Kim Sullivan |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Elissa Kim Sullivan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4050 Beyer Blvd
San Ysidro, CA, 92173-2007
United States |
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| Phone Number : | 619-662-4100 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790216422 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Mar, 2017 |
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| Last Updated On : | 11 Aug, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elissa Kim Sullivan are as mentioned. Primary taxonomy code for Elissa Kim Sullivan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 169577 | CA |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
13001 E 17TH PL,
AURORA, CO, 80045-2570
United States | AURORA, CO | 720-777-6738 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1601 Precision Park Ln
San Diego, CA, 92173-1345
United States |
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| Phone Number : | 619-662-4100 |
|---|
Business Location:
Patients can refer following map for directions to
Elissa Kim Sullivan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.