Individual
DR. CARLOS BULAON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 WHITTIER BLVD STE 105, LOS ANGELES, CA 90023-1746
(323) 262-8100
(323) 262-2146
Mailing address
5953 ATLANTIC BLVD, MAYWOOD, CA 90270-3133
(323) 562-6170
(323) 562-6176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A48343
CA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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