person
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. You can also correspond with Media R Mupanduki through the mailing address at 1501 HUGHES WAY STE 150, LONG BEACH, CA - 90810-1878 (mailing address contact number: 310-221-6336).

Location: 1501 Hughes Way Ste 150, Long Beach, CA, 90810-1878
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
State
Zip
90810-1878
Phone Number
310-221-6336
Fax Number
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Provider Business Mailing Address Details
Address
1501 Hughes Way Ste 150
City
State
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
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
License No.
AP139444 (Texas)
Definition
Definition to come...
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