Search › California › 106H00000X
Michael Sullivan
NPI 1114243540 · on the registry since 2010 · sole proprietor
Practice
- Address
- 610 Elm St
Suite 212
San Carlos, CA 94070 - Phone
- (650) 591-9623
- Fax
- (650) 591-9750
- Clinicians at this address
- 107
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-09-09
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