| Gilberto Bultron, MD | |
|
11333 N Sepulveda Blvd, Mission Hills, CA 91345-1116 | |
| (818) 869-7200 | |
| (818) 837-5741 |
| Full Name | Gilberto Bultron |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 11333 N Sepulveda Blvd, Mission Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972705259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | A106843 (California) | Secondary |
| 208000000X | Pediatrics | A106843 (California) | Primary |
| Entity Name | Providence Facey Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
| Entity Name | County Of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
| Mailing Address | Practice Location Address |
|---|---|
| Gilberto Bultron, MD Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5559 | Gilberto Bultron, MD 11333 N Sepulveda Blvd, Mission Hills, CA 91345-1116 Ph: (818) 869-7200 |
Dr. Henie Fialkoff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-869-7200 | |
Stephen J Elliott, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15031 Rinaldi St, Mission Hills, CA 91345 Phone: 805-215-5259 | |
Catherine S. Cho, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-869-7200 Fax: 818-898-1808 | |
Dr. Zonia A Leon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14901 Rinaldi St, #330, Mission Hills, CA 91345 Phone: 818-365-7778 Fax: 818-365-7808 | |
Maya Levy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531 Fax: 818-837-5783 | |
Supriya Bavisetty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531 Fax: 818-898-1682 | |
Gloria Hierro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11165 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-837-2753 Fax: 818-898-9282 |