Individual
MR. MAHMOOD BULKO TIMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
10300 COMPTON AVE, LOS ANGELES, CA 90002-3628
(818) 693-4189
Mailing address
14901 KINGSDALE AVE, LAWNDALE, CA 90260-1405
(818) 693-4189
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15807
CA
Other
Enumeration date
02/12/2007
Last updated
02/14/2012
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