NPI 1184976409 · live from the CMS NPI Registry
Ryan Douglas Bullock, AUD
Audiologist in San Pedro, CA. National Provider Identifier 1184976409, active.
NPI record
| NPI | 1184976409 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1360 W 6th St Ste 243, San Pedro, CA 90732 |
| Practice phone | 424-570-0117 |
| Mailing address | 600 Monterey Blvd Apt 10, Hermosa Beach, CA 90254 |
| Enumerated | October 10, 2012 |
| Last updated | September 26, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.