Individual
DR. ANATOLY J BULKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2130 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4151
(760) 739-7666
(760) 739-7633
Mailing address
120 CRAVEN RD STE 201, SAN MARCOS, CA 92078-4237
(760) 291-6650
(760) 737-3430
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G79826
CA
2086S0129X
Vascular Surgery Physician
Primary
G79826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G798260
—
CA
Enumeration date
03/24/2006
Last updated
02/16/2024
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