Individual provider · Type 1 NPI
Timothy Bullock, DC
Chiropractor · Santa Monica, CA
NPI number
1457448938
Active
Practice location
1712 Ocean Park Blvd
Santa Monica, CA 90405-4902
Fax (310) 392-7676
Mailing address
15550 Rockfield Blvd, B220
Irvine, CA 92618-2720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC13957 (CA) |
Chiropractor: 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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About NPI 1457448938
Timothy Bullock, DC's National Provider Identifier is 1457448938, issued on Oct 6, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 22, 2010.