Healthcare Provider Details

I. General information

NPI: 1174439095
Provider Name (Legal Business Name): JOHANNA I MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

292 S LA CIENEGA BLVD STE 250
BEVERLY HILLS CA
90211-3357
US

IV. Provider business mailing address

1734 N FULLER AVE APT 111
LOS ANGELES CA
90046-3032
US

V. Phone/Fax

Practice location:
  • Phone: 484-343-8050
  • Fax:
Mailing address:
  • Phone: 484-343-8050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: