MEDICARE: JAMES MULZAC PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA3073	FL
2	363A00000X	Physician Assistant	159579	MT
3	363A00000X	Physician Assistant	8941	GA
4	363A00000X	Physician Assistant	PA64999	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255404877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MULZAC PA

Provider Business Mailing Address
First Line	:	2888 LONG BEACH BLVD STE 165
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1561
Country	:	US
Telephone Number	:	657-241-9052
Fax Number	:	714-665-4663

Provider Business Practice Location Address
First Line	:	2888 LONG BEACH BLVD STE 165
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1561
Country	:	US
Telephone Number	:	657-241-9052
Fax Number	:	714-665-4663

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	07/07/2025

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Directions to “ JAMES MULZAC PA” Practice Location

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