Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lydia Tesfaye Bullo

Individual provider Specialist · NPI 1144151804

Lydia Tesfaye Bullo is a Specialist in Sacramento, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4610 X St
Sacramento, CA 95817-2200
Phone: (916) 661-9980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1144151804
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 26, 2026

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