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

Ryan Douglas Bullock, AUD

Individual provider Audiologist · NPI 1184976409

Ryan Douglas Bullock, AUD is a Qualified Audiologist in San Pedro, California. Qualified in 2012, 14 years ago. Works from 2 locations and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2012
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

1360 W 6th St Ste 243
San Pedro, CA 90732-3589
Phone: (424) 570-0117
Fax: (424) 570-0499
Show map & directions

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

Additional practice locations (1)

  • 11201 Ne 9th St, Vancouver, WA 98684-5964 — (479) 459-2261

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X

Record details

NPI number1184976409
Entity typeIndividual (Type 1)
GenderMale
Credentials AUD
Sole proprietorNo
NPI enumeratedOctober 10, 2012
Last updated in NPPESSeptember 26, 2018
Mailing address600 Monterey Blvd Apt 10, Hermosa Beach, CA 90254-4583

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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