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Dr. Timothy C Bullard, MD
Family Medicine Physician in Marina Del Rey, California
NPI 1306801766

Timothy C Bullard is a Family Medicine Physician based in Los Angeles, CA. Timothy C Bullard practices in Marina Del Rey, CA and has the professional credentials of MD. The NPI Number for Timothy C Bullard is 1306801766 and holds a License No. A64738 (California).

The current practice location address for Timothy C Bullard is 4560 Admiralty Way Ste 100, Marina Del Rey, CA and can be reached out via phone at 108-273-7003. You can also correspond with Timothy C Bullard through the mailing address at 5767 W CENTURY BLVD STE 400, LOS ANGELES, CA - 90045-5631 (mailing address contact number: ).

Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA, 90045-5631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306801766
Provider Name
Timothy C Bullard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4560 Admiralty Way Ste 100, Marina Del Rey, CA, 90045-5631
Phone Number
108-273-7003
Fax Number
Provider Enumeration Date
04/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A647380 05 CA
1306801766 01 MI BC BS MI
1306801766 05 MI
930098046 01 CA RAILROAD
institution
Provider Business Practice Location Address Details
Address
4560 Admiralty Way Ste 100
City
Marina Del Rey
State
California
Zip
90292-5424
Phone Number
108-273-7003
Fax Number
person
Provider Business Mailing Address Details
Address
4560 Admiralty Way Ste 100
City
Marina Del Rey
State
California
Zip
90292-5424
Phone Number
108-273-7003
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
01051619 (Indiana)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
A64738 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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