Healthcare Provider Details

I. General information

NPI: 1609301191
Provider Name (Legal Business Name): BRITTNEY MULL M.D., MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2017
Last Update Date: 12/17/2021
Certification Date: 08/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W CARSON ST
TORRANCE CA
90502-2004
US

IV. Provider business mailing address

7032 HARVEY WAY
LAKEWOOD CA
90713-3315
US

V. Phone/Fax

Practice location:
  • Phone: 310-222-3501
  • Fax:
Mailing address:
  • Phone: 424-215-9196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA158896
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: