Organization
MICHAEL T MUMFORD MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THOMAS MUMFORD M D (PHYSICIAN)
(714) 540-1924
Entity
Organization
Contact information
Practice address
2740 S BRISTOL ST, 218, SANTA ANA, CA 92704-6209
(714) 540-1924
(714) 540-6302
Mailing address
2740 S BRISTOL ST, 218, SANTA ANA, CA 92704-6209
(714) 540-1924
(714) 540-6302
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G36179
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0G3617900
—
CA
Enumeration date
10/31/2006
Last updated
01/09/2009
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