ALICIA M BULIN (NPI# 1063772580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063772580 |
| Entity Type | Individual |
| Full Name | ALICIA M BULIN |
| Credential | NP |
| Practice Address |
5768 Acacia Ln Lakewood CA 90712 |
| Mailing Address |
5768 Acacia Ln Lakewood CA 90712-1283 |
| Practice Telephone | 4159287800 |
| Mailing Telephone | 6123872821 |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
713127 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
21120 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5768 ACACIA LN |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720289 | Robin Jean Mills | Nurse Practitioner | 2162 Lewis Dr, Lakewood, OH 44107-6141 | 2020-08-12 |
| 1720646771 | Se Won Min | Nurse Practitioner | 9116 Gravelly Lake Dr Sw Ste 107, Lakewood, WA 98499-3148 | 2019-06-04 |
| 1790245736 | Therese Jean Calabrese | Nurse Practitioner | 7525 W 10th Ave # 100, Lakewood, CO 80214-4493 | 2019-03-25 |
| 1760966139 | Michelle Lea Bajema | Nurse Practitioner | 6212 75th St W # 1, Lakewood, WA 98499-8368 | 2018-09-20 |
| 1881097707 | Marjory Strawn | Nurse Practitioner | 7114 W Jefferson Ave Ste 306, Lakewood, CO 80235-2354 | 2014-10-06 |
| 1992077630 | Tzivya Kownat | Nurse Practitioner | 23 Kedma Dr, Lakewood, NJ 08701-3599 | 2012-01-26 |
| 1033118344 | Erin Alane Jacobson | Nurse Practitioner | 6212 75th St W, Lakewood, WA 98499-8368 | 2005-07-19 |
| 1780299495 | Rachel E King | Nurse Practitioner | 305 E Fairmount Ave, Lakewood, NY 14750-2000 | 2020-09-10 |
| 1073135505 | Se Hee Min | Nurse Practitioner | 9116 Gravelly Lake Dr Sw Ste 107, Lakewood, WA 98499-3148 | 2020-05-06 |
| 1255964268 | Casey Brown | Nurse Practitioner | 305 E Fairmount Ave, Lakewood, NY 14750-2000 | 2020-02-18 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.