Patrick L Mullens M D Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

05D0552389 Issued in CA

Legal business name

PATRICK L MULLENS M D INC

Practice address

13222 Bloomfield Ave
Norwalk, CA 90650-3249

Phone

(323) 267-0477

Fax

(323) 881-2651

NPI assigned

Apr 19, 2013

Last updated

Apr 19, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick L Mullens, MDNPI 1730141888

Title

President

Phone

(805) 578-8300

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick L Mullens, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Hollywood, CA
  • NPI 1730141888
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1063856102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914100076",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13222 BLOOMFIELD AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503249",
            "telephone_number": "323-267-0477",
            "fax_number": "323-881-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK L MULLENS M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "MULLENS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-578-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "05D0552389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Christine Patel, D.O.
• Nency R Patel
• Shivani Girish Patel, PSYD
• Pathways Community Services LLC
• Pathways Community Services LLC (Clarvida)
• Linda Patrick, CAADE
• Shilpashri S Patwardhan
• Paul S. Crismon, O.D. Inc
• Roger Pavon
• Brian Christopher Payne, M.D.

• Anatomic Pathology & Clinical Pathology Physician in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.