Bullock, Shawn

Bullock, Shawn is an individual health care provider with primary practice located at 27401 Los Altos Suite 180, Mission Viejo CA 92691-6316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bullock, Shawn can be contacted via phone (949) 582-9624.

Contact Information

Primary practice address
27401 Los Altos Suite 180 Mission Viejo CA 92691-6316
Phone: (949) 582-9624
Fax: (949) 582-9626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A62757 California

Profile Details

NPI number 1164460978
LBN Legal business name Bullock, Shawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 25th, 2008 - about 16 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 1164460978 NPPES
California MEDICAID 00A627570

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