Individual
MR. ERIC JASON MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
3633 E BROADWAY, LONG BEACH, CA 90803-6035
(562) 285-1330
Mailing address
6475 E PACIFIC COAST HWY STE 272, LONG BEACH, CA 90803-4201
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
27177
CA
167G00000X
Licensed Psychiatric Technician
PT27177
CA
Other
Enumeration date
03/04/2016
Last updated
12/15/2025
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