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Timothy Bullock, DC
Chiropractor in Santa Monica, California
NPI 1457448938

Timothy Bullock is a Chiropractor based in Irvine, CA. Timothy Bullock practices in Santa Monica, CA and has the professional credentials of DC. The NPI Number for Timothy Bullock is 1457448938 and holds a License No. DC13957 (California).

The current practice location address for Timothy Bullock is 1712 Ocean Park Blvd, Santa Monica, CA and can be reached out via phone at 310-394-1515 and via fax at 310-392-7676. You can also correspond with Timothy Bullock through the mailing address at 15550 ROCKFIELD BLVD, IRVINE, CA - 92618-2720 (mailing address contact number: 949-598-9999).

Location: 1712 Ocean Park Blvd, Santa Monica, CA, 92618-2720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457448938
Provider Name
Timothy Bullock
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1712 Ocean Park Blvd, Santa Monica, CA, 92618-2720
Phone Number
310-394-1515
Fax Number
310-392-7676
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC0139570 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1712 Ocean Park Blvd
City
Santa Monica
State
California
Zip
90405-4902
Phone Number
310-394-1515
Fax Number
310-392-7676
person
Provider Business Mailing Address Details
Address
1712 Ocean Park Blvd
City
Santa Monica
State
California
Zip
90405-4902
Phone Number
310-394-1515
Fax Number
310-392-7676
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC13957 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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