Timothy Daniel Bulgarelli in Pasadena - Orthotic Fitter

Timothy Daniel Bulgarelli - NPI 1710022546

Timothy Daniel Bulgarelli is a Orthotic Fitter in Pasadena, California. Timothy Daniel Bulgarelli practices all healthcare services and medical treatments related to Orthotic Fitter. The NPI Number for Timothy Daniel Bulgarelli is 1710022546. The last update date is 2007-07-08.

Timothy Daniel Bulgarelli's current location address is 454 N Craig Ave, Pasadena, California. You can contact this provider via phone number 6267937103 and fax number 6267938332. The mailing address for Timothy Daniel Bulgarelli is 454 N Craig Ave, Pasadena, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Daniel Bulgarelli
Address 454 N Craig Ave, Pasadena, California
Phone Number 6267937103
Fax Number 6267938332
Sole Proprietor Y
Credentials CPO

NPI Number Detail

NPI Number 1710022546
Provider Enumeration Date 2007-02-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 454 N Craig Ave
City Pasadena
State California (CA)
Post Code 911072460
Phone Number 6267937103
Fax Number 6267938332

Provider's Primary Taxonomy Detail

Speciality Orthotic Fitter
Taxonomy 225000000X
Licence No CPO00731
Definition:
An individual trained in the management of fitting prefabricated orthoses.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ42904Z CA BLUE SHIELD OF CALIFORNIA
XC0007310 CA --

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FAQs about Timothy Daniel Bulgarelli

What is the unique 10-digit identification code issued to Timothy Daniel Bulgarelli by the Centers for Medicare & Medicaid Services?

The Timothy Daniel Bulgarelli has been assigned the NPI (National Provider Identifier) 1710022546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Timothy Daniel Bulgarelli's facilities are situated?

The facilities of Timothy Daniel Bulgarelli are physically located at the following address: 454 N Craig Ave, Pasadena, CA, 911072460.

What is Timothy Daniel Bulgarelli's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Timothy Daniel Bulgarelli is Orthotic Fitter, and the taxonomy code that categorizes this field of expertise is 225000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1710022546 to Timothy Daniel Bulgarelli?

The Centers for Medicare & Medicaid Services assigned the 1710022546 to Timothy Daniel Bulgarelli on 2007-02-20.

As of what date were the details pertaining to Timothy Daniel Bulgarelli last refreshed?

The information related to the Timothy Daniel Bulgarelli, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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