MEDICARE: EDWARD MURILLO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1255205795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD MURILLO

Provider Business Mailing Address
First Line	:	368 SPRING OAK RD UNIT 1837
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-7536
Country	:	US
Telephone Number	:	805-512-5611
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 CAMINO DEL SOL STE 1
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-3725
Country	:	US
Telephone Number	:	805-604-5437
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	03/26/2026

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Directions to “ EDWARD MURILLO ” Practice Location

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