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TIMOTHY BULLOCK D.C.
NPI 1457448938
Chiropractor in Santa Monica, CA

Active since October 06, 2006
1712 OCEAN PARK BLVD, SANTA MONICA, CA 90405(310) 394-1515(310) 392-7676 Get Directions Write a Review

NPPES record last updated: July 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Bullock D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY BULLOCK D.C. (NPI 1457448938) is an individual chiropractor in Santa Monica, California, licensed in California (DC13957) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1457448938
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameTIMOTHY BULLOCKCredential: D.C.
Location Address1712 OCEAN PARK BLVDSanta Monica, CA 90405-4902
Mailing Address15550 Rockfield Blvd, B220Irvine, CA 92618-2720 · (949) 598-9999 · Fax (949) 598-9990
Phone(310) 394-1515
Fax(310) 392-7676
Sole ProprietorYes
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 22, 2010
✔ NPI 1457448938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC13957
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1712 OCEAN PARK BLVD, Santa Monica, CA 90405
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Other Identifiers 3

Medicare ID-Type UnspecifiedDC13957CA
Medicare UPINT17658CA
OtherDC0139570CA · Blue Shield

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MONICA JUNG LEE KIM L.AC. DAOM
Acupuncturist
1712 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 396-8085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Bullock's NPI number?

The NPI number for Timothy Bullock is 1457448938. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Timothy Bullock located?

Timothy Bullock practices at 1712 Ocean Park Blvd, Santa Monica, CA 90405. The listed phone number is (310) 394-1515.

What is Timothy Bullock's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Timothy Bullock was last updated on July 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.