Organization
TIMOTHY D. BULGARELLI
Active
Other names
Pacific Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D BULGARELLI CPO (OWNER)
(626) 793-7103
Entity
Organization
Contact information
Practice address
44404 16TH ST W, SUITE 108, LANCASTER, CA 93534-2839
(661) 974-7037
(661) 974-7038
Mailing address
454 N CRAIG AVE, PASADENA, CA 91107-2460
(626) 793-7103
(626) 793-8332
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO00731
—
Other
Enumeration date
11/12/2007
Last updated
08/30/2011
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