Individual ProviderMichael MuellnerInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021(323) 783-0339PECOS EnrollmentBased on the most recent information from CMS, provider Michael Muellner is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1073959094Provider TypeIndividualFull NameMuellner, MichaelCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date5/16/2013Last Updated11/3/2021Contact InformationPractice LocationPractice Address4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021Phone(323) 783-0339Fax(866) 455-3867Mailing LocationMailing Address4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021Phone(323) 783-0339Fax(866) 455-3867Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA136445California