Ibrahim Mulic

Physician Assistant · Redding, CA

Individual Active NPI

NPI number 1992324321

Practice location

1742 Oregon St
Redding, CA 96001-1717
Phone
(619) 228-4717

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NPI record

NPI
1992324321
Entity type
Individual (Type 1)
Enumeration date
April 15, 2020
Last updated
April 15, 2020
Certified
April 15, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA57956 CA

Mailing address

6254 Caminito Andreta
San Diego, CA 92111-7203
Phone
(619) 228-4717

About Ibrahim Mulic

Ibrahim Mulic is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1742 Oregon St, Redding, CA 96001-1717. The NPI number 1992324321 was assigned on April 15, 2020 and the record was last updated on April 15, 2020.

Ibrahim Mulic lists a license in the registry: #PA57956 (CA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ibrahim Mulic?

The NPI number is 1992324321.

What is the phone number of Ibrahim Mulic?

The phone number listed for the practice location is (619) 228-4717.

Where is Ibrahim Mulic located?

1742 Oregon St, Redding, CA 96001-1717.

What is the taxonomy code for Ibrahim Mulic?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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