Organization
MATTHEW SCHULTZEL DO AND DOUGLAS SULLIVAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS SULLIVAN (SECRETARY)
(626) 319-0712
Entity
Organization
Contact information
Practice address
477 N EL CAMINO REAL STE A308, ENCINITAS, CA 92024-1350
(626) 319-0712
Mailing address
2211 ENCINITAS BLVD STE 200, ATTN: DOUGLAS SULLIVAN, ENCINITAS, CA 92024-4361
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
09/09/2019
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