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NPI Code Detail

MEDICARE: BIANCA BULL PA-C

MEDICARE: BIANCA BULL PA-C
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
1363A00000XPhysician AssistantPA67606CA

General Provider Information

NPI Number : 1780454827
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIANCA BULL PA-C
Provider Business Mailing Address
First Line : 1075 E BETTERAVIA RD STE 201
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-7023
Country : US
Telephone Number : 805-621-7714
Fax Number :
Provider Business Practice Location Address
First Line : 1075 E BETTERAVIA RD STE 201
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-7023
Country : US
Telephone Number : 805-621-7714
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2024
Last Update Date : 03/16/2026

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Directions to “ BIANCA BULL PA-C” Practice Location

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