Healthcare Provider Details

I. General information

NPI: 1245165364
Provider Name (Legal Business Name): ANNA KULLMANN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9898 GENESEE AVE FL 1
LA JOLLA CA
92037-1205
US

IV. Provider business mailing address

10790 RANCHO BERNARDO RD
SAN DIEGO CA
92127-5705
US

V. Phone/Fax

Practice location:
  • Phone: 858-824-4151
  • Fax: 858-964-3123
Mailing address:
  • Phone: 858-824-4151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95039878
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: