Search › California › 111N00000X
Charles Sullivan, DC
NPI 1811086069 · on the registry since 2006 · sole proprietor
Practice
- Address
- 201 9th Street
Marina, CA 93933 - Phone
- (831) 884-1000
- Fax
- (559) 227-7701
- Organisation at this address
- Palo Alto Vamc
Madigan Army Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 45
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-18
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