IndividualActive
Al Bulak, NUTRITIONIST
NPI 1225837065 · Nutrition Education Nutritionist · Coto De Caza, CA
Provider details
- NPI number
- 1225837065
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Credential
- NUTRITIONIST
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
65 Brassie Ln
Coto De Caza, CA 92679-4942
Registry dates
- Enumerated
- 2025-03-12
- Last updated
- 2025-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.