Bullis Family Medical in Inglewood - Family Medicine
Bullis Family Medical - NPI 1104084623
Bullis Family Medical is a Family Medicine in Inglewood, California. Bullis Family Medical practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bullis Family Medical is 1104084623. The last update date is 2008-06-02.
Bullis Family Medical's current location address is 248 N Locust St, Inglewood, California. You can contact this provider via phone number 3106733737 and fax number 3106730248. The mailing address for Bullis Family Medical is 248 N Locust St, Inglewood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bullis Family Medical |
|---|---|
| Address | 248 N Locust St, Inglewood, California |
| Phone Number | 3106733737 |
| Fax Number | 3106730248 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Nickelberry L. Bambi |
| Credentials | M.D. |
| Telephone Number | 3106733737 |
NPI Number Detail
| NPI Number | 1104084623 |
|---|---|
| Provider Enumeration Date | 2008-05-30 |
| Last Updated Date | 2008-06-02 |
Provider Mailing Address Detail
| Address | 248 N Locust St |
|---|---|
| City | Inglewood |
| State | California (CA) |
| Post Code | 903011258 |
| Phone Number | 3106733737 |
| Fax Number | 3106730248 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | G46679 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code issued to Bullis Family Medical by the Centers for Medicare & Medicaid Services?
The Bullis Family Medical has been assigned the NPI (National Provider Identifier) 1104084623 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Bullis Family Medical is physically located?
The Bullis Family Medical is physically situated at the following address: 248 N Locust St, Inglewood, CA, 903011258.
What is Bullis Family Medical's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bullis Family Medical is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did Bullis Family Medical receive its 1104084623 assignment from the Centers for Medicare & Medicaid Services?
The Bullis Family Medical was assigned its 1104084623 on 2008-05-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Bullis Family Medical most recently updated or revised?
The details related to Bullis Family Medical, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-02.