Search › California › 1041C0700X
Gavin O'Sullivan
NPI 1588782593 · on the registry since 2007 · sole proprietor
Practice
- Address
- 840 Old Grass Valley Rd
Colfax, CA 95713 - Phone
- (530) 217-3575
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-18
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