Bulgarelli, Timothy Daniel

Bulgarelli, Timothy Daniel is an sole proprietor health care provider with primary practice located at 454 N Craig Ave , Pasadena CA 91107-2460. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Bulgarelli, Timothy Daniel can be contacted via phone (626) 793-7103.

Contact Information

Primary practice address
454 N Craig Ave Pasadena CA 91107-2460
Phone: (626) 793-7103
Fax: (626) 793-8332
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X CPO00731
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X CPO00731
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X CPO00731

Profile Details

NPI number 1710022546
LBN Legal business name Bulgarelli, Timothy Daniel
Credentials CPO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710022546 NPPES
California Other ZZZ42904Z BLUE SHIELD OF CALIFORNIA
California MEDICAID XC0007310 BLUE SHIELD OF CALIFORNIA

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