NPI 1104084623

Bullis Family Medical

Organisation Family Medicine Physician Inglewood, CA

Practice location

Address: 248 N Locust St, Inglewood, CA 90301-1258
Phone: (310) 673-3737
Fax: (310) 673-0248

Authorised official

Name: Bambi L. Nickelberry
Title: Physician
Phone: (310) 673-3737

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence G46679 (CA)

Other Family Medicine providers in California →

Registry record

NPI: 1104084623
Entity type: Organization
NPI issued: 30 May 2008
Record last updated: 2 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.