NPI
Sophia Mishelle Bullington
NPI 1821725128
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2022-08-05
- Last updated
- 2022-08-05
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Specialties
Licenses
- License CA
- TCH187401
Location
- Practice location
- 310 W Lake St
- City
- Mount Shasta CA
- Postal code
- 96067-2119
- Phone
- (530) 926-3826
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Mount Shasta, CA. 272 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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