Isabel Mullin

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

3763 Issued in CA

Practice address

1405 Magnolia Ave
Manhattan Beach, CA 90266-5218

Phone

(310) 546-5030

Fax

(310) 546-5030

NPI assigned

Nov 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Isabel Margaret Wigle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1891949285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 MAGNOLIA AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665218",
            "telephone_number": "310-546-5030",
            "fax_number": "310-546-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MAGNOLIA AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665218",
            "telephone_number": "310-546-5030",
            "fax_number": "310-546-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "ISABEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "CA",
            "license": "3763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABEL",
            "last_name": "WIGLE",
            "middle_name": "MARGARET",
            "prefix": "MISS",
            "credential": "MA  OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Anthony Morris, M.D.
• Mosaic Medical Management, Inc.
• Mountain to Sea Physical Therapy Inc
• Stephanie Moy
• Melissa Maria Mueller, M.D.
• Tonja Mundwiller, M.D.
• Katharine Marie Munson, PA-C
• Kazuto Robin Nakamura, DPT
• Marco Nakhla, RPH
• Sarah Nam

• Gerontology Occupational Therapist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Gerontology Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.