Vassallo, Elisse

Vassallo, Elisse is an individual health care provider with primary practice located at 4676 Admiralty Way Ste 301 , Marina Del Rey CA 90292-6601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vassallo, Elisse can be contacted via phone (310) 673-3945.

Contact Information

Primary practice address
4676 Admiralty Way Ste 301 Marina Del Rey CA 90292-6601
Phone: (310) 673-3945
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95017219 California

Profile Details

NPI number 1104490796
LBN Legal business name Vassallo, Elisse
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2021
Last updated Sep 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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