Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elissa Port

Individual provider Pediatrics Physician · NPI 1831890706

Elissa Port is a Pediatrics Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

2020 Zonal Ave
Los Angeles, CA 90089-0121
Phone: (323) 409-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence PTL3927 (CA)

Record details

NPI number1831890706
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 16, 2023
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

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