ANDREW G. BULLOCK MD NPI 1124552641

NPI Information

  • NPI: 1124552641
  • Provider Name: ANDREW G. BULLOCK, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8631 W 3RD ST STE 635E
    LOS ANGELES, CA
    ZIP 90048
  • Phone: (310) 248-8245

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NPI Details

Andrew G. Bullock, MD is a cardiovascular disease internal medicine in Los Angeles, CA with 8 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Andrew G. Bullock, MD NPI is 1124552641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

8631 W 3RD ST STE 635E
LOS ANGELES, CA
ZIP 90048-994
Phone: (310) 248-8245

The NPI 1124552641 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2017 and was last updated on 9/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine68932TENNESSEENo
2207RC0000XInternal MedicineCardiovascular Disease11751223-1205UTAHNo
3207RC0000XInternal MedicineCardiovascular DiseaseA197442CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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