Individual
KEN JIRO BULPITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UCLA MEDICAL GROUP, 200 MEDICAL PLAZA, B365, LOS ANGELES, CA 90095-0001
(310) 743-5203
Mailing address
1000 VETERAN AVE, DIVISION OF RHEUMATOLOGY, LOS ANGELES, CA 90095-1670
(310) 743-5203
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G59166
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619902764
—
CA
Enumeration date
07/11/2006
Last updated
03/05/2014
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