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KEVIN CULLEN
NPI 1407103567
Point of Service in Newport Beach, CA

Active since August 08, 2012
3206 W BALBOA BLVD, NEWPORT BEACH, CA 92663(949) 723-2388(949) 723-1288 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kevin Cullen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN CULLEN (NPI 1407103567) is an individual point of service provider in Newport Beach, California, licensed in California (0041750) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1407103567
Entity TypeIndividualMale
Primary Taxonomy305S00000X
Provider Legal NameKEVIN CULLEN
Location Address3206 W BALBOA BLVDNewport Beach, CA 92663-3018
Mailing Address3419 Via LidoNewport Beach, CA 92663-3908 · (949) 723-2388 · Fax (949) 723-1288
Phone(949) 723-2388
Fax(949) 723-1288
Sole ProprietorYes
Enumeration DateAugust 8, 2012
✔ NPI 1407103567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in CA · 0041750
Definition

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.

3206 W BALBOA BLVD, Newport Beach, CA 92663
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BALBOA RECOVERY
Clinic/Center (Rehabilitation, Substance Use Disorder)
3206 W BALBOA BLVD
NEWPORT BEACH, CA 92663
Orange County (949) 400-7120

Frequently Asked Questions

What is Kevin Cullen's NPI number?

The NPI number assigned to this healthcare provider is 1407103567, enumerated as an "individual" on August 08, 2012.

Where is the provider located?

The provider is located at 3206 W BALBOA BLVD NEWPORT BEACH, CA 92663 and the phone number is (949) 723-2388.

What is the provider's specialty?

Point of Service with taxonomy code 305S00000X.