Individual
MATTHEW MULLARKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 W STEWART DR, ORANGE, CA 92868-3849
(714) 771-8113
Mailing address
2 SAN RAFAEL PL, LAGUNA NIGUEL, CA 92677-7622
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G65841
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G586410
—
CA
Enumeration date
05/24/2006
Last updated
10/22/2020
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