MEDICARE: JANICE L. HULL, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	A80999	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013156520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANICE L. HULL, M.D., INC.

Provider Business Mailing Address
First Line	:	PO BOX 2116
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90305-0116
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8475 S VAN NESS AVE
Second Line	:	SUITE 101
City	:	INGLEWOOD
State	:	CA
Zip	:	90305-1562
Country	:	US
Telephone Number	:	323-778-7990
Fax Number	:	323-778-2486

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JANICE L. HULL
Credential	:	M.D.
Telephone Number	:	323-778-7990

Provider Enumeration Date	:	02/08/2009
Last Update Date	:	02/08/2009

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