Search › California › 207Q00000X
Timothy Bullard, MD
NPI 1306801766 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4560 Admiralty Way Ste 100
Marina Del Rey, CA 90292 - Phone
- (108) 273-7003
- Organisation at this address
- C.W. Klishevich
Agim Gashi Dpm Inc
Clear Medical Inc.
Zoom Weight Loss Llc
Rosita D Tan Dmd Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 78
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207P00000X
207P00000X
207P00000X - Licence states on file
- CA, IN, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California