Glen O'Sullivan, M.D.

Individual Active
NPI 1972504652
Specialist Mount Shasta, CA

Glen O'Sullivan, M.D. is a specialist practicing in Mount Shasta, CA. The NPI was issued on August 3, 2005, and the record was last updated in NPPES on November 23, 2010.

This record hasn't been updated in NPPES since 2010. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X A44219 (CA)

Practice location

635 Lassen Ln
Mount Shasta, CA 96067-9003
Phone: (866) 668-3597

Local context

Active NPPES records list 4 providers with specialist as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 9,080 in California and 89,620 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Glen S O'Sullivan
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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