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KEITH MARTIN MULLINS MD NPI 1952367310


NPI Information

NPI: 1952367310
Provider Name: KEITH MARTIN MULLINS, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Organization: PROVIDENCE MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
2699 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806
Phone: (562) 426-3333
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Keith Martin Mullins, MD is a specialist in Long Beach, CA with 26 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Keith Martin Mullins, MD NPI is 1952367310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:1998

The provider's business location address is:

2699 ATLANTIC AVE
LONG BEACH, CA
ZIP 90806-710
Phone: (562) 426-3333

The NPI 1952367310 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 11/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA70634CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.