Sullivan, Kathleen Beatrice

Sullivan, Kathleen Beatrice is an individual health care provider with primary practice located at 24451 Health Center Dr , Laguna Hills CA 92653-3689. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Sullivan, Kathleen Beatrice can be contacted via phone (949) 837-4500.

Contact Information

Primary practice address
24451 Health Center Dr Laguna Hills CA 92653-3689
Phone: (949) 837-4500
Fax: (949) 837-4621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G49346 California

Profile Details

NPI number 1144244476
LBN Legal business name Sullivan, Kathleen Beatrice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144244476 NPPES
California Other 00G493460 BLUE SHIELD ID #
California Other 00G493460385 BLUE SHIELD ID #
California MEDICAID 00G493460 BLUE SHIELD ID #

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