Dr Clayton Matthew Bullock, MD, PHD | |
1152 N Poinsettia Place #7, West Hollywood, CA 90046 | |
(323) 632-8144 | |
(323) 632-8144 |
Full Name | Dr Clayton Matthew Bullock |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1152 N Poinsettia Place #7, West Hollywood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891983748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A94641 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Clayton Matthew Bullock, MD, PHD 1152 N Poinsettia Pl Apt 7, West Hollywood, CA 90046-5797 Ph: (323) 632-8144 | Dr Clayton Matthew Bullock, MD, PHD 1152 N Poinsettia Place #7, West Hollywood, CA 90046 Ph: (323) 632-8144 |
Dr. Ingrid Leah Dombrower, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-2871 Fax: 310-423-0114 | |
Dr. Jethro L. Hu, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-967-1884 | |
Maranatha Ayodele, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-2000 | |
Dr. Jessica Michelle Sedley Besbris, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, Becker Suite 224, West Hollywood, CA 90048 Phone: 310-423-5252 Fax: 310-423-9525 | |
Dr. Richard Joel Metzner, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 840 Larrabee St, #1-319, West Hollywood, CA 90069 Phone: 310-360-0306 Fax: 310-360-0309 | |
Dr. Robert Harris Baloh, MD PHD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 423-423-6472 | |
Richa Kalra, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8235 Santa Monica Blvd Ste 302, West Hollywood, CA 90046 Phone: 888-684-2779 |