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Individual

DEBRA F. MUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2202 WILSHIRE BLVD, SANTA MONICA, CA 90403-5706
(310) 264-9000
(310) 264-9004
Mailing address
DEPT LA 21559, PASADENA, CA 91185-1559
(888) 727-1073
(866) 752-2240

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G70390
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G703900
BLUE SHIELD OF CA
CA
05
00G703900
CA
Enumeration date
12/09/2005
Last updated
02/09/2009
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