Sullivan, Pamela C

Sullivan, Pamela C is an individual health care provider with primary practice located at 7755 Center Ave Ste 630 , Huntington Beach CA 92647. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Sullivan, Pamela C can be contacted via phone (657) 237-2450.

Contact Information

Primary practice address
7755 Center Ave Ste 630 Huntington Beach CA 92647
Phone: (657) 237-2450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 188059 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 188059 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 59371 Arizona

Profile Details

NPI number 1326191107
LBN Legal business name Sullivan, Pamela C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Nov 29th, 2022 - about 4 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 1326191107 NPPES
New York Other 930079485 RAILROAD MEDICARE
New York MEDICAID 02089325 RAILROAD MEDICARE

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