Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | C37500 | CA |
NPI | 1023001286 |
---|---|
Provider Name | Gerald L Murphy |
First Address | Simi Valley, CA 93065-7232 |
Second Address | Simi Valley, CA 93065-7232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 27/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A36647 | (02) | |
DDC375001 | (05) | CA |