Provider Demographics
NPI:1932277209
Name:HU AND MULLEN MEDICAL CORPORATION
Entity Type:Organization
Organization Name:HU AND MULLEN MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BOB
Authorized Official - Middle Name:S
Authorized Official - Last Name:HU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-465-9149
Mailing Address - Street 1:101 1ST ST # 188
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-2778
Mailing Address - Country:US
Mailing Address - Phone:650-465-9149
Mailing Address - Fax:
Practice Address - Street 1:101 1ST ST # 188
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-2778
Practice Address - Country:US
Practice Address - Phone:650-465-9149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-02
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG56747174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0098420Medicaid
CAZZZ28055ZMedicare ID - Type UnspecifiedGROUP ID #
CAGR0098420Medicaid
CAY04266Medicare UPIN