Individual
DR. NANCY BULBOW WAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1901 COLLEGE AVE, SANTA ANA, CA 92706-2334
(714) 852-3644
Mailing address
PO BOX 11014, SANTA ANA, CA 92711-1014
(714) 852-3644
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A0655380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A655380
—
CA
Enumeration date
12/30/2006
Last updated
03/15/2023
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