Organization
BULLOCH INTEGRATIVE HEALTHCARE & ACUPUNCTURE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY BULLOCH D.A.O.M. (PRESIDENT)
(310) 428-4841
Entity
Organization
Contact information
Practice address
4132 MADISON AVE, CULVER CITY, CA 90232-3222
(310) 428-4841
Mailing address
4132 MADISON AVE, CULVER CITY, CA 90232-3222
(310) 428-4841
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC11576
CA
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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