SearchCalifornia164X00000X

Sully Nevarez

NPI 1700710027 · on the registry since 2026 · sole proprietor

Practice

Address
34257 Kalanchoe Rd
Lake Elsinore, CA 92532
Phone
(951) 244-7657
Fax
(951) 244-7657
Clinicians at this address
5

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-11

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