Al Bulak, NUTRITIONIST is a
Nutritionist - Nutrition, Education based in Coto De Caza, California. Al Bulak is licensed to practice in * (Not Available) (license number ) and his current practice location is
65 Brassie Ln, Coto De Caza, California. He can be reached at his office (for appointments etc.) via phone at
(918) 271-1111.
NPI number for Al Bulak is 1225837065 and his current mailing address is 65 Brassie Ln, Coto De Caza, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225837065.
Healthcare Provider's Profile
Full Name | Al Bulak |
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Gender | Male |
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Speciality | Nutritionist - Nutrition, Education |
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Location | 65 Brassie Ln, Coto De Caza, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225837065
- Provider Enumeration Date: 03/12/2025
- Last Update Date: 03/12/2025
Medical Identifiers
Medical identifiers for Al Bulak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225837065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
133N00000X | Nutritionist | (* (Not Available)) | Secondary |
133NN1002X | Nutritionist - Nutrition, Education | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Al Bulak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Al Bulak, NUTRITIONIST 65 Brassie Ln, Coto De Caza, CA 92679-4942 Ph: (918) 271-1111 | Al Bulak, NUTRITIONIST 65 Brassie Ln, Coto De Caza, CA 92679-4942 Ph: (918) 271-1111 |
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