Individual
DR. CLAYTON MATTHEW BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1152 N POINSETTIA PLACE #7, WEST HOLLYWOOD, CA 90046
(323) 632-8144
(323) 632-8144
Mailing address
1152 N POINSETTIA PL APT 7, WEST HOLLYWOOD, CA 90046-5797
(323) 632-8144
(323) 632-8144
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A94641
CA
Other
Enumeration date
10/04/2007
Last updated
02/11/2022
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