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Media R Mupanduki
Psychiatric/Mental Health Nurse Practitioner in Long Beach, California
NPI 1598232928

Media R Mupanduki is a Psychiatric/Mental Health Nurse Practitioner based in Long Beach, CA and is specialized in Psychiatric/Mental Health. Media R Mupanduki practices in Long Beach, CA. The NPI Number for Media R Mupanduki is 1598232928 and holds a License No. AP139444 (California).

The current practice location address for Media R Mupanduki is 1501 Hughes Way Ste 150, Long Beach, CA and can be reached out via phone at 310-221-6336.

Location: 1501 Hughes Way Ste 150, Long Beach, CA, 90810-1878
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598232928
Provider Name
Media R Mupanduki
Credential
Provider Entity Type
Individual
Gender
Female
Address
1501 Hughes Way Ste 150, Long Beach, CA, 90810-1878
Phone Number
310-221-6336
Fax Number
Provider Enumeration Date
10/24/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP139444 01 TX FAMILY NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
1501 Hughes Way Ste 150
City
Long Beach
State
California
Zip
90810-1878
Phone Number
310-221-6336
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Hughes Way Ste 150
City
Long Beach
State
California
Zip
90810-1878
Phone Number
310-221-6336
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95016352 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
AP139444 (Texas)
Definition
Definition to come...
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