Individual
ALISSA MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(424) 259-9620
Mailing address
410 E SYCAMORE AVE, EL SEGUNDO, CA 90245-2434
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
810558
CA
Other
Enumeration date
09/06/2025
Last updated
10/24/2025
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