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General NPI Number Information
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NPI Number | 1740372861
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Entity Type | Individual
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Provider Name | NICHOLAS S MUFF MD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 260 E ONTARIO AVE STE 101
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City | CORONA
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State | CA
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Zip | 92879-3508
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Country | US
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Telephone | 949-490-4820
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Fax | 949-490-4819
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Provider Business Mailing Address
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Address Line | P O BOX 977
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City | COUPEVILLE
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State | WA
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Zip | 98239
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Country | US
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Telephone | 360-678-4071
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Fax | 360-678-6014
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | G25544
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD00015015
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License Number State | WA
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