Provider Demographics
NPI:1467746453
Name:MULHOLLAND, CELENE BARDALES (MD, MPH)
Entity Type:Individual
Prefix:
First Name:CELENE
Middle Name:BARDALES
Last Name:MULHOLLAND
Suffix:
Gender:F
Credentials:MD, MPH
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:630 S RAYMOND AVE UNIT 330
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3206
Mailing Address - Country:US
Mailing Address - Phone:626-793-8194
Mailing Address - Fax:626-793-3664
Practice Address - Street 1:630 S RAYMOND AVE UNIT 330
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3206
Practice Address - Country:US
Practice Address - Phone:626-793-8194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR73519207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery