Patrick L Mullens, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

C39597 Issued in CA

Practice address

6245 De Longpre Ave
Hollywood, CA 90028-8253

Phone

(323) 462-2271

NPI assigned

Apr 4, 2006

Last updated

Apr 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patrick L Mullens M D Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Norwalk, CA
  • NPI 1063856102
  Authorized official Same address or phone
• Patrick L Mullens M D Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
  • NPI 1063856110
  Authorized official Same address or phone
• Patrick L Mullens M D Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Hollywood, CA
  • NPI 1881038768
  Authorized official Same address or phone

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1730141888",
    "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": "805-578-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 DE LONGPRE AVE",
            "city": "HOLLYWOOD",
            "state": "CA",
            "postal_code": "900288253",
            "telephone_number": "323-462-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENS",
        "first_name": "PATRICK",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "C39597",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "C39597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind and Body Healing
• Mission City Community Network, Inc.
• Michael Robert Mollura, PHD
• Matthew Zeno Moon
• Mithra Moon, PA
• Sarah Catherine Neal, MFTI
• Lori Netzen, CMF
• Alexis Nixon, PA
• Dong Cheol Oh, L.AC.
• Prince Okosun

• Anatomic Pathology & Clinical Pathology Physician in Hollywood, CA
• Providers in Hollywood, 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 17, 2008; 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.