Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | A148198 | CA |
Y | 207RI0011X | Interventional Cardiology | A148198 | CA |
NPI | 1033369947 |
---|---|
Provider Name | Batyrjan Bulibek |
First Address | Encinitas, CA 92024-5179 |
Second Address | Encinitas, CA 92024-5179 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2008 |
Last Update Date | 11/03/2020 |