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NPI Code Detail

MEDICARE: ANDRZEJ BULCZYNSKI M.D., INC.

MEDICARE: ANDRZEJ BULCZYNSKI 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
1207X00000XOrthopaedic Surgery PhysicianA89040CA

General Provider Information

NPI Number : 1356575625
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDRZEJ BULCZYNSKI M.D., INC.
Provider Business Mailing Address
First Line : 4551 GLENCOE AVE # 145
Second Line :
City : MARINA DEL REY
State : CA
Zip : 90292-6385
Country : US
Telephone Number : 310-574-0383
Fax Number : 310-724-8188
Provider Business Practice Location Address
First Line : 4551 GLENCOE AVE # 145
Second Line :
City : MARINA DEL REY
State : CA
Zip : 90292-6385
Country : US
Telephone Number : 310-574-0383
Fax Number : 310-724-8188
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DR. ANDRZEJ BULCZYNSKI
Credential : M.D.
Telephone Number : 310-574-0400
Provider Enumeration Date : 05/14/2009
Last Update Date : 12/09/2025

Similar Medicare Providers

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Practice Location Address:
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1225291842 — DR. LUKE MACYSZYN MD, MA
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90292-6385
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1679993406 — LEIA RISPOLI M.D.
Practice Location Address:
4551 GLENCOE AVE STE 145
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Directions to “ANDRZEJ BULCZYNSKI M.D., INC. ” Practice Location

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