Mahlon Henderson, is a
Case Manager/care Coordinator based in Long Beach, California. Mahlon Henderson is licensed to practice in * (Not Available) (license number ) and his current practice location is
4335 Atlantic Ave, Long Beach, California. He can be reached at his office (for appointments etc.) via phone at
(562) 216-4900.
NPI number for Mahlon Henderson is 1629535406 and his current mailing address is 4335 Atlantic Ave, Long Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629535406.
Healthcare Provider's Profile
| Full Name | Mahlon Henderson |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 4335 Atlantic Ave, Long Beach, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629535406
- Provider Enumeration Date: 02/27/2019
- Last Update Date: 05/23/2023
Medical Identifiers
Medical identifiers for Mahlon Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629535406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mahlon Henderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mahlon Henderson,
4335 Atlantic Ave,
Long Beach, CA 90807-2803
Ph: (562) 216-4900 | Mahlon Henderson,
4335 Atlantic Ave,
Long Beach, CA 90807-2803
Ph: (562) 216-4900 |
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