Most Relevant Information
Provider Data
| NPI Number: | 1003075334 |
| Provider Name: | MELISSA NICOLE SULLIVAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | A103405 |
Most Important Dates
| Enumeration Date: | 06/02/2008 |
| Last Updated: | 11/29/2010 |
Provider Practice Location
760 WESTWOOD PLZ
SUITE C8-222
LOS ANGELES
CA
900245055
Practice Location Phone/Fax
| Phone: | 3108259989 |
| Fax: |
Provider Mailing Location
5767 W CENTURY BLVD
SUITE 400
LOS ANGELES
CA
900455631
Provider Mailing Phone/Fax
| Phone: | 3108259989 |
| Fax: |
Suggested EMR
Psychiatry EMR