Individual
AMANDA JANE MULARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 MEDICAL PLZ, SUITE 340, LOS ANGELES, CA 90095-0001
(310) 794-7274
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 794-7274
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A120512
CA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
Q4221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1205120
—
CA
Enumeration date
05/29/2008
Last updated
07/16/2015
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