| 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 |
| Experience | 21 Years |
| Location | 1152 N Poinsettia Place #7, West Hollywood, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891983748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A94641 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| 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 |
|---|---|
| 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 | |
Stephen Daniel Avila, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-3277 | |
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 |