| Bullis Family Medical | |
|
248 N Locust St Inglewood CA 90301-1258 | |
| (310) 673-3737 | |
| (310) 673-0248 |
| Full Name | Bullis Family Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 248 N Locust St, Inglewood, California |
| Authorized Official Name and Position | Bambi L. Nickelberry (PHYSICIAN) |
| Authorized Official Contact | 3106733737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bullis Family Medical 248 N Locust St Inglewood CA 90301-1258 Ph: (310) 673-3737 | Bullis Family Medical 248 N Locust St Inglewood CA 90301-1258 Ph: (310) 673-3737 |
| NPI Number | 1104084623 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104084623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G46679 (California) | Primary |
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