Timothy C Bullard in Marina Del Rey - Family Medicine
Timothy C Bullard - NPI 1306801766
Timothy C Bullard is a Family Medicine in Marina Del Rey, California. Timothy C Bullard practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Timothy C Bullard is 1306801766. The last update date is 2021-10-07.
Timothy C Bullard's current location address is 4560 Admiralty Way Ste 100, Marina Del Rey, California. You can contact this provider via phone number 1082737003. The mailing address for Timothy C Bullard is 4560 Admiralty Way Ste 100, Marina Del Rey, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy C Bullard |
|---|---|
| Address | 4560 Admiralty Way Ste 100, Marina Del Rey, California |
| Phone Number | 1082737003 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306801766 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2021-10-07 |
Provider Mailing Address Detail
| Address | 4560 Admiralty Way Ste 100 |
|---|---|
| City | Marina Del Rey |
| State | California (CA) |
| Post Code | 902925424 |
| Phone Number | 1082737003 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A64738 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A647380 | CA | -- | |
| 1306801766 | MI | BC BS MI | |
| 1306801766 | MI | -- | |
| 930098046 | CA | RAILROAD |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy C Bullard by the Centers for Medicare & Medicaid Services (CMS)?
The Timothy C Bullard has been assigned the NPI (National Provider Identifier) 1306801766. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Timothy C Bullard is physically located?
The Timothy C Bullard is physically situated at the following address: 4560 Admiralty Way Ste 100, Marina Del Rey, CA, 902925424.
What is the Timothy C Bullard's area of specialization and corresponding taxonomy classification?
The Timothy C Bullard's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1306801766 to Timothy C Bullard?
The Centers for Medicare & Medicaid Services assigned the 1306801766 to Timothy C Bullard on 2006-04-19.
When was the information related to Timothy C Bullard most recently updated or refreshed?
The details pertaining to the Timothy C Bullard, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-10-07.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM