Bullis Family Medical | |
248 N Locust St Inglewood CA 90301-1258 | |
(310) 673-3737 | |
(310) 673-0248 |
Full Name | Bullis Family Medical |
---|---|
Speciality | Family Medicine |
Location | 248 N Locust St, Inglewood, California |
Authorized Official Name and Position | Bambi L. Nickelberry (PHYSICIAN) |
Authorized Official Contact | 3106733737 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bullis Family Medical 248 N Locust St Inglewood CA 90301-1258 Ph: (310) 673-3737 | Bullis Family Medical 248 N Locust St Inglewood CA 90301-1258 Ph: (310) 673-3737 |
NPI Number | 1104084623 |
---|---|
Provider Enumeration Date | 05/30/2008 |
Last Update Date | 06/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104084623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G46679 (California) | Primary |
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