MR. JAY BULLOCH L.AC NPI 1174753354

NPI Information

  • NPI: 1174753354
  • Provider Name: MR. JAY BULLOCH, L.AC
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Individual
  • Address: 4132 MADISON AVE
    CULVER CITY, CA
    ZIP 90232
  • Phone: (310) 428-4841

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NPI Details

MR. Jay Bulloch, L.AC is an acupuncturist in Culver City, CA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. MR. Jay Bulloch, L.AC NPI is 1174753354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4132 MADISON AVE
CULVER CITY, CA
ZIP 90232-222
Phone: (310) 428-4841

The enumeration date for this NPI number is 7/22/2009 and was last updated on 7/22/2009.

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
1171100000XAcupuncturistAC 11576CALIFORNIAYes

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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