Provider Demographics
NPI:1396258893
Name:BULL, MEREDITH (ND)
Entity type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:
Last Name:BULL
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3306 PICO BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-2116
Mailing Address - Country:US
Mailing Address - Phone:818-928-5880
Mailing Address - Fax:888-388-1551
Practice Address - Street 1:3306 PICO BLVD
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-2116
Practice Address - Country:US
Practice Address - Phone:818-928-5880
Practice Address - Fax:888-388-1551
Is Sole Proprietor?:No
Enumeration Date:2017-11-07
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60807988175F00000X
CA1068175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath