Individual
MIM I MULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26800 CROWN VALLEY PKWY STE 230, MISSION VIEJO, CA 92691-8038
(949) 542-8004
(949) 364-3682
Mailing address
26800 CROWN VALLEY PKWY STE 230, MISSION VIEJO, CA 92691-8038
(949) 542-8004
(949) 364-3682
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G79494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G794940
—
CA
Enumeration date
12/28/2005
Last updated
11/09/2021
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