Individual
ALEXEI MARIE BULLARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 MAPLE AVE STE B, LOS ANGELES, CA 90014-2211
(213) 673-3001
Mailing address
631 MAPLE AVE STE B, LOS ANGELES, CA 90014-2211
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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