Search › California › 103K00000X
Andrea Sullivan
NPI 1548763964 · on the registry since 2018
Practice
- Address
- 1622 San Carlos Ave
Unit B
San Carlos, CA 94070 - Phone
- (510) 832-4383
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-07
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