JOHANNA BULMER

WESTLAKE VILLAGE, CA
NPI1518126804
Former NameJOHANNA LIZAOLA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA19497)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: CA  19497)
Enumeration Date2008-06-03
Last Update Date2012-11-15
Business Address
Mrs. JOHANNA BULMER P.A.
1220 LA VENTA DR STE 103
WESTLAKE VILLAGE, CA 91361-3748
Phone number: 805-493-3225
Mailing Address
Mrs. JOHANNA BULMER P.A.
60 WEST OLSEN RD #4300
THOUSAND OAKS, CA 91360
Phone number: