Organization Active NPI

Bruce a. Bullias, M.D., Inc.

  • Internal Medicine Physician
  • East Los Angeles, CA
National Provider Identifier
1306871884
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G27217 Issued in CA
Legal business name
BRUCE A. BULLIAS, M.D., INC.
Practice address
6007 Whittier Blvd
East Los Angeles, CA 90022-4401
Phone
(323) 728-3872
Fax
(323) 728-9014
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Bruce A. Bullias, M.D.
Title
President
Phone
(310) 545-6962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G27217 CA Primary

Addresses

Primary practice location

6007 Whittier Blvd
East Los Angeles, CA 90022-4401

Mailing address

6007 Whittier Blvd
East Los Angeles, CA 90022-4401
Phone (323) 728-3872

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306871884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 WHITTIER BLVD",
            "city": "EAST LOS ANGELES",
            "state": "CA",
            "postal_code": "900224401",
            "telephone_number": "323-728-3872",
            "fax_number": "323-728-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 WHITTIER BLVD",
            "city": "EAST LOS ANGELES",
            "state": "CA",
            "postal_code": "900224401",
            "telephone_number": "323-728-3872",
            "fax_number": "323-728-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A. BULLIAS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BULLIAS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-545-6962",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G27217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.