SULLAY DEEN PMHNP
NPI 1225853120
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Q: What is Sullay Deen's NPI number?

The NPI number for Sullay Deen is 1225853120. It was assigned to this individual provider in the NPPES registry on November 18, 2024.

Q: What is Sullay Deen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Sullay Deen was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 18, 2024

12619 AVALON BLVD, LOS ANGELES, CA 90061(323) 757-1881 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Sullay Deen Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SULLAY DEEN PMHNP (NPI 1225853120) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in Florida (2024070396) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1225853120

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameSULLAY DEENCredential: PMHNP

Location Address12619 AVALON BLVDLos Angeles, CA 90061-2727

Mailing AddressPo Box 58Hawthorne, CA 90251-0058 · (424) 255-2864

Phone(323) 757-1881

Sole ProprietorYes

Enumeration DateNovember 18, 2024

NPPES CertifiedNovember 17, 2024

✔ NPI 1225853120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · 2024070396

12619 AVALON BLVD, Los Angeles, CA 90061

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILSON OLAKUNLE OJO

Nurse Practitioner (Psychiatric/Mental Health)

12619 AVALON BLVD
LOS ANGELES, CA 90061

Los Angeles County (323) 757-1881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sullay Deen's NPI number?

The NPI number for Sullay Deen is 1225853120. It was assigned to this individual provider in the NPPES registry on November 18, 2024.

Where is Sullay Deen located?

Sullay Deen practices at 12619 Avalon Blvd, Los Angeles, CA 90061. The listed phone number is (323) 757-1881.

What is Sullay Deen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Sullay Deen was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.