NPIMap

Organization Active NPI

Bulloch Integrative Healthcare & Acupuncture, Inc

  • Acupuncturist
  • Culver City, CA
National Provider Identifier
1174068324
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11576 Issued in CA
Legal business name
BULLOCH INTEGRATIVE HEALTHCARE & ACUPUNCTURE, INC
Practice address
4132 Madison Ave
Culver City, CA 90232-3222
Phone
(310) 428-4841
NPI assigned
Dec 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jay Bulloch, D.A.O.M.NPI 1174753354
Title
President
Phone
(310) 428-4841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC11576 CA Primary

Addresses

Primary practice location

4132 Madison Ave
Culver City, CA 90232-3222

Mailing address

4132 Madison Ave
Culver City, CA 90232-3222
Phone (310) 428-4841

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1174068324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 MADISON AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323222",
            "telephone_number": "310-428-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 MADISON AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323222",
            "telephone_number": "310-428-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLOCH INTEGRATIVE HEALTHCARE & ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "BULLOCH",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-428-4841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.A.O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.