Individual provider · Type 1 NPI

Megan Mulder, PA-C

Medical Physician Assistant · Los Angeles, CA

NPI number 1013611409 Active

Practice location

757 Westwood Plz
Los Angeles, CA 90095-7106

Fax (310) 825-7473

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA63379 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1013611409

Megan Mulder, PA-C's National Provider Identifier is 1013611409, issued on Mar 29, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 8, 2025.