Organization
TIMOTHY D. BULGARELLI
Active
Other names
Pacific Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BULGARELLI CPO (OWNER)
(626) 793-7103
Entity
Organization
Contact information
Practice address
24811 SAN FERNANDO RD, SUITE O, SANTA CLARITA, CA 91321-4133
(661) 254-8461
(661) 254-7887
Mailing address
24811 SAN FERNANDO RD, SUITE O, SANTA CLARITA, CA 91321-4133
(661) 254-8461
(661) 254-7887
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO00731
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XC0007310
—
CA
Enumeration date
11/29/2007
Last updated
01/10/2008
Update your record
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