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Timothy D. Bulgarelli
Prosthetic/Orthotic Supplier in Pasadena, California
NPI 1184811283

Timothy D. Bulgarelli is a Prosthetic/Orthotic Supplier based in Pasadena, CA. Timothy D. Bulgarelli practices in Pasadena, CA. The NPI Number for Timothy D. Bulgarelli is 1184811283 and holds a License No. CPO00731 (California).

The current practice location address for Timothy D. Bulgarelli is 454 N Craig Ave, Pasadena, CA and can be reached out via phone at 626-793-7103 and via fax at 626-793-8332.

Location: 454 N Craig Ave, Pasadena, CA, 91107-2460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184811283
Provider Name
Timothy D. Bulgarelli
Credential
Provider Entity Type
Organization
Address
454 N Craig Ave, Pasadena, CA, 91107-2460
Phone Number
626-793-7103
Fax Number
626-793-8332
Provider Enumeration Date
10/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ42904Z 01 CA BLUE SHIELD OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
454 N Craig Ave
City
Pasadena
State
California
Zip
91107-2460
Phone Number
626-793-7103
Fax Number
626-793-8332
person
Provider Business Mailing Address Details
Address
454 N Craig Ave
City
Pasadena
State
California
Zip
91107-2460
Phone Number
626-793-7103
Fax Number
626-793-8332
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
CPO00731 ()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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