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Shane Mullikin

NPI 1669816476 · on the registry since 2013

Practice

Address
12555 Navajo Rd
Apple Valley, CA 92308
Phone
(760) 247-8001
Organisation at this address
Apple Valley Unified School District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
171400000X
171400000X
Also registered as
103K00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California