Healthcare Provider Details

I. General information

NPI: 1508049669
Provider Name (Legal Business Name): R DAN MURPHY DPM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2007
Last Update Date: 03/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3816 WOODRUFF AVE SUITE 410
LONG BEACH CA
90808-2147
US

IV. Provider business mailing address

3816 WOODRUFF AVE SUITE 410
LONG BEACH CA
90808-2147
US

V. Phone/Fax

Practice location:
  • Phone: 562-421-7199
  • Fax: 562-496-1658
Mailing address:
  • Phone: 562-421-7199
  • Fax: 562-496-1658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE2140
License Number StateCA

VIII. Authorized Official

Name: DR. ROBERT DAN MURPHY
Title or Position: PRESIDENT
Credential: DPM
Phone: 562-421-7199