Individual
MEDIA R MUPANDUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 HUGHES WAY STE 150, LONG BEACH, CA 90810-1878
(310) 221-6336
Mailing address
1501 HUGHES WAY STE 150, LONG BEACH, CA 90810-1878
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95016352
CA
363LP2300X
Primary Care Nurse Practitioner
95016352
CA
363LP2300X
Primary Care Nurse Practitioner
AP139444
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP139444
FAMILY NURSE PRACTITIONER
TX
Enumeration date
10/24/2018
Last updated
04/01/2022
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