Mupanduki, Media R

Mupanduki, Media R is an individual health care provider with primary practice located at 1501 Hughes Way Ste 150 , Long Beach CA 90810-1878. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mupanduki, Media R can be contacted via phone (310) 221-6336.

Contact Information

Primary practice address
1501 Hughes Way Ste 150 Long Beach CA 90810-1878
Phone: (310) 221-6336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP139444 Texas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95016352 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95016352 California

Profile Details

NPI number 1598232928
LBN Legal business name Mupanduki, Media R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2018
Last updated Apr 1st, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598232928 NPPES
Texas Other AP139444 FAMILY NURSE PRACTITIONER

Popular Providers