Provider Demographics
NPI:1801601075
Name:BULDA, RICHELLE MAE ARIETA (DC)
Entity type:Individual
Prefix:
First Name:RICHELLE MAE
Middle Name:ARIETA
Last Name:BULDA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13517 BIOLA AVE
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-2956
Mailing Address - Country:US
Mailing Address - Phone:562-640-0730
Mailing Address - Fax:
Practice Address - Street 1:1145 E SAN ANTONIO DR
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2379
Practice Address - Country:US
Practice Address - Phone:562-984-5505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37144111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor