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Search › California › 103K00000X

Kim Sullivan

NPI 1437663713 · on the registry since 2017

Practice

Address
2430 Auto Park Way Ste 101
Escondido, CA 92029
Phone
(176) 074-3118
Clinicians at this address
3

Additional practice sites

  • 5762 Bolsa Ave Ste 100, Huntington Beach, CA
  • 4883 Ronson Ct Ste I, San Diego, CA
  • 1926 Via Ctr Ste B, Vista, CA

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106S00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California