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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIMOTHY C BULLARD, MD

Active Sole Proprietor

DR. TIMOTHY C BULLARD, MD is a Family Medicine healthcare provider located in MARINA DEL REY, California. NPI 1306801766 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MARINA DEL REY, CA

Registration Details

NPI Number
1306801766
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2006 (20.133435239656 yrs)
Last Updated
Oct 7, 2021
Licenses
A64738 (CA)
01051619 (IN)
4301082809 (MI)
A64738 (CA)
Sole Proprietor
Yes

Practice Information

Address
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA, 902925424
Browse CA providers · Browse ZIP 90292
Phone
1082737003
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Emergency Medicine
Additional Specialty
Emergency Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in MARINA DEL REY, CA

Name Credential NPI
DR. JAMES DAFFIN SENECHAL MD 1780662106
DR. MICHAEL GORNIOWSKY M.D. 1073567442
DR. SONIA DEVGAN-KACKER MD 1528002839
MS. HELEEN ROBINS M.D. 1871519959
RONALD A KURYLOWICZ DO 1770652190
NAVID DAVID MATTEW JAVAHERIAN M.D. 1477612570
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.