Healthcare Provider Details

I. General information

NPI: 1952305823
Provider Name (Legal Business Name): JEAN MARIA MULLER MD, FACC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 11/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 W ROSECRANS AVE STE 21
COMPTON CA
90222-3860
US

IV. Provider business mailing address

PO BOX 845833
LOS ANGELES CA
90084-5833
US

V. Phone/Fax

Practice location:
  • Phone: 424-529-6755
  • Fax:
Mailing address:
  • Phone: 310-792-3914
  • Fax: 855-898-4055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberA44144
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA44144
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: