Individual provider · Type 1 NPI

Timothy C. Bullard, MD

Family Medicine Physician · Marina Del Rey, CA

NPI number 1306801766 Active

Practice location

4560 Admiralty Way Ste 100
Marina Del Rey, CA 90292-5424

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XA64738 (CA)
Emergency Medicine Physician 207P00000X01051619 (IN)
Emergency Medicine Physician 207P00000X4301082809 (MI)
Family Medicine Physician Primary 207Q00000XA64738 (CA)

Family Medicine Physician: 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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About NPI 1306801766

Timothy C. Bullard, MD's National Provider Identifier is 1306801766, issued on Apr 19, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Marina Del Rey, CA. The record was last updated on Oct 7, 2021.