Individual
MARILYN MULAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
PREMIERE ONCOLOGY, 2020 SANTA MONICA BLVD, SANTA MONICA, CA 90404
(310) 633-8400
(310) 633-8419
Mailing address
12412 TEXAS AVE, UNIT 206, LOS ANGELES, CA 90025-1963
(310) 571-0084
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
RN 496453
CA
164W00000X
Licensed Practical Nurse
Primary
NP 16738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP 16738
NURSE PRACTIONER LIC
CA
Enumeration date
03/20/2007
Last updated
09/11/2025
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