Individual
JOSAH BULANADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(888) 631-2452
Mailing address
2325 S MIRA CT, UNIT 140, ANAHEIM, CA 92802-5523
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22848
CA
Other
Enumeration date
07/30/2013
Last updated
09/26/2023
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