Wannaporn Mullan

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WANNAPORN MULLAN

Practice address

155 South 5TH Street
Suite a
Coalinga, CA 93210-1903

Phone

(559) 935-9350

Fax

(559) 935-2329

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Wannaporn Mullan

Title

Owner

Phone

(559) 935-9350

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coalinga Medical Supplies Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael E. Mullan, PSY.D.

  • Clinical Psychologist
  • Coalinga, CA
  • NPI 1700078011
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1861500787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SOUTH 5TH STREET",
            "address_2": "SUITE A",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932101903",
            "telephone_number": "559-935-9350",
            "fax_number": "559-935-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SOUTH 5TH STREET",
            "address_2": "SUITE A",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932101903",
            "telephone_number": "559-935-9350",
            "fax_number": "559-935-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANNAPORN MULLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MULLAN",
        "authorized_official_first_name": "WANNAPORN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-935-9350",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ06748Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coalinga Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neal Velgos, LCSW
• Marlin Villanueva, MSW, PPS
• Vineyard Medical Services, a Med Corp
• Walgreen Co
• Frank J Walker
• Warthan Creek Emergency Physicians, a Medical Corporation
• Neil Martin Waugh, PH.D.
• Jyana Cody Wechsler, PSY.D.
• Jin K. Yu
• Ratana Yun, PHARM.D.

• Durable Medical Equipment & Medical Supplies in Coalinga, CA
• Providers in Coalinga, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.