DR. NICHOLAS DEAN GUTLAY BULLO DC - NPI 1831958842

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Dr. Nicholas Dean Gutlay Bullo Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS DEAN GUTLAY BULLO DC (NPI 1831958842) is an individual chiropractor in Irvine, California, licensed in California (36909) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1831958842

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. NICHOLAS DEAN GUTLAY BULLOCredential: DC

Location Address1 PETERS CANYON RD STE 120Irvine, CA 92606-1748

Mailing Address22811 Date AveTorrance, CA 90505-3028 · (310) 619-6624

Phone(949) 229-2451

Sole ProprietorNo

Enumeration DateMarch 14, 2024

Last NPPES UpdateJanuary 14, 2025

NPPES CertifiedJanuary 14, 2025

✔ NPI 1831958842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · 36909

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1 PETERS CANYON RD STE 120, Irvine, CA 92606

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