Individual
DR. PEGGY S SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-6007
(310) 206-8108
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A90881
CA
207ZP0101X
Anatomic Pathology Physician
A90881
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A90881
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A908810
—
CA
Enumeration date
07/11/2008
Last updated
01/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us