Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDREW SULLIVAN, D.O.
ActiveDR. ANDREW SULLIVAN, D.O. is a General Practice healthcare provider located in PORT HUENEME, California. NPI 1932470291 is currently active in the NPPES registry. Verify at CMS.
General Practice · PORT HUENEME, CA
Registration Details
- NPI Number
- 1932470291
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2012 (14.386982441416 yrs)
- Last Updated
- Apr 23, 2015
- License
-
0102203574 (VA)
Practice Information
- Address
-
162 1ST ST BLDG 1402PORT HUENEME, CA, 930434316Browse CA providers · Browse ZIP 93043
- Phone
- 9365230454
- Fax
- 8059822071
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in PORT HUENEME, CA
| Name | Credential | NPI |
|---|---|---|
| JASON JUNG | DO | 1528766680 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.