Individual provider · Type 1 NPI
Kevin Cullen
Point of Service · Newport Beach, CA
NPI number
1407103567
Active
Practice location
3206 W Balboa Blvd
Newport Beach, CA 92663-3018
Fax (949) 723-1288
Mailing address
3419 Via Lido
Newport Beach, CA 92663-3908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 0041750 (CA) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Another provider at this address
About NPI 1407103567
Kevin Cullen's National Provider Identifier is 1407103567, issued on Aug 8, 2012. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Newport Beach, CA. The record was last updated on Aug 8, 2012.