Mund, Debra F.
Mund, Debra F. is an individual health care provider with primary practice located at 2202 Wilshire Blvd , Santa Monica CA 90403-5706. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Mund, Debra F. can be contacted via phone (310) 264-9000.Contact Information
Primary practice address
2202 Wilshire Blvd
Santa Monica CA 90403-5706
Phone: (310) 264-9000
Fax: (310) 264-9004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G70390 | California |
Profile Details
| NPI number | 1326023516 |
|---|---|
| LBN Legal business name | Mund, Debra F. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Feb 9th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326023516 | NPPES |
| California | MEDICAID | 00G703900 | |
| California | Other | 00G703900 |
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