Provider Demographics
NPI:1790485787
Name:ASCEND PELVIC HEALTH, INC.
Entity Type:Organization
Organization Name:ASCEND PELVIC HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MULVANEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTD
Authorized Official - Phone:480-720-2465
Mailing Address - Street 1:1752 CALLE PLATICO
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-6914
Mailing Address - Country:US
Mailing Address - Phone:480-720-2465
Mailing Address - Fax:
Practice Address - Street 1:16935 W BERNARDO DR STE 140
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-1664
Practice Address - Country:US
Practice Address - Phone:858-888-9676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty