Individual
DR. CELIA ELAINE KULDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11611 SAN VICENTE BLVD STE 500, LOS ANGELES, CA 90049
(310) 893-2319
Mailing address
12460 BAY HILL CT, GARDEN GROVE, CA 92843-4182
(909) 633-0362
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9304TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0093040
—
CA
Enumeration date
01/24/2007
Last updated
10/09/2018
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