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Timothy Daniel Bulgarelli, CPO
Orthotic Fitter in Pasadena, California
NPI 1710022546

Timothy Daniel Bulgarelli is a Orthotic Fitter based in Pasadena, CA. Timothy Daniel Bulgarelli practices in Pasadena, CA and has the professional credentials of CPO. The NPI Number for Timothy Daniel Bulgarelli is 1710022546 and holds a License No. CPO00731 (California).

The current practice location address for Timothy Daniel 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
person
Provider Profile Details
NPI Number
1710022546
Provider Name
Timothy Daniel Bulgarelli
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
454 N Craig Ave, Pasadena, CA, 91107-2460
Phone Number
626-793-7103
Fax Number
626-793-8332
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ42904Z 01 CA BLUE SHIELD OF CALIFORNIA
XC0007310 05 CA
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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
CPO00731 ()
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
CPO00731 ()
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
CPO00731 ()
Definition
An individual trained in the management of fitting prefabricated orthoses.
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