Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cricket Cheyenne Gullickson

Individual provider Pediatrics Physician · NPI 1114449048

Cricket Cheyenne Gullickson is a Pediatrics Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone: (920) 348-3688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A201663 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A201663 (CA)

Record details

NPI number1114449048
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2017
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

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