Organization
BULLIS FAMILY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAMBI L. NICKELBERRY M.D. (PHYSICIAN)
(310) 673-3737
Entity
Organization
Contact information
Practice address
248 N LOCUST ST, INGLEWOOD, CA 90301-1258
(310) 673-3737
(310) 673-0248
Mailing address
248 N LOCUST ST, INGLEWOOD, CA 90301-1258
(310) 673-3737
(310) 673-0248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G46679
CA
Other
Enumeration date
05/30/2008
Last updated
06/02/2008
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