Pathma Neelika Bulathgama
Individual provider Active NPI Rehabilitation Practitioner · Artesia, CA
NPI 1376896050 · NPPES record last updated Oct 18, 2012
Key facts
- NPI
- 1376896050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 18432 Gridley Rd
Artesia, CA 90701-5404 - Phone
- (562) 860-2479
- Fax
- (562) 860-7109
- NPI assigned
- Oct 18, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clontarf Manor Inc. | Past |
Accepting new patients | |
| Clontarf Manor, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
18432 Gridley Rd
Artesia, CA 90701-5404
Mailing address
14518 Cabell Ave
Bellflower, CA 90706-3205
Phone (562) 860-2479
Other providers in Artesia, CA
- Sundeep Bhambhani
- Ruchi Bharadwaj
- Blessing Hospice Care, Inc.
- Rylie Borje
- Bryan Imoto O.D. Optometric Corporation
- David Patrick Buono Jr.
- C V Hospice Care, Inc.
- Maria Rowena Tan Cabatingan
- Joely Caballes Caparas-Fernando
- Caremeridian, LLC
All providers in Artesia, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.