Alicia M Bulin, NP | |
5768 Acacia Ln, Lakewood, CA 90712 | |
(415) 928-7800 | |
Not Available |
Full Name | Alicia M Bulin |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 5768 Acacia Ln, Lakewood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063772580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | 713127 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 21120 (California) | Primary |
Entity Name | Thomas Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659972099 PECOS PAC ID: 1355748021 Enrollment ID: O20210922002229 |
Mailing Address | Practice Location Address |
---|---|
Alicia M Bulin, NP 5768 Acacia Ln, Lakewood, CA 90712-1283 Ph: (612) 387-2821 | Alicia M Bulin, NP 5768 Acacia Ln, Lakewood, CA 90712 Ph: (415) 928-7800 |
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