MEDICARE: JEAN MARIA MULLER MD, FACC

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	207RC0001X	Clinical Cardiac Electrophysiology Physician	A44144	CA
2	207RC0000X	Cardiovascular Disease Physician	A44144	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00K21Z	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952305823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN MARIA MULLER MD, FACC

Provider Business Mailing Address
First Line	:	PO BOX 845833
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90084-5833
Country	:	US
Telephone Number	:	310-792-3914
Fax Number	:	855-898-4055

Provider Business Practice Location Address
First Line	:	2251 W ROSECRANS AVE STE 21
Second Line	:
City	:	COMPTON
State	:	CA
Zip	:	90222-3860
Country	:	US
Telephone Number	:	424-529-6755
Fax Number	:

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	11/01/2017

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