Mulford, Mim I

Mulford, Mim I is an individual health care provider with primary practice located at 26800 Crown Valley Pkwy Ste 230 , Mission Viejo CA 92691-8038. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Mulford, Mim I can be contacted via phone (949) 542-8004.

Contact Information

Primary practice address
26800 Crown Valley Pkwy Ste 230 Mission Viejo CA 92691-8038
Phone: (949) 542-8004
Fax: (949) 364-3682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X G79494 California

Profile Details

NPI number 1235116542
LBN Legal business name Mulford, Mim I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Nov 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235116542 NPPES
California MEDICAID 00G794940

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