Healthcare Provider Details

I. General information

NPI: 1235283045
Provider Name (Legal Business Name): KOZFEY LA VON MURRAY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5513 ORANGE AVE
LONG BEACH CA
90805-5423
US

IV. Provider business mailing address

5513 ORANGE AVE
LONG BEACH CA
90805-5423
US

V. Phone/Fax

Practice location:
  • Phone: 562-422-7433
  • Fax: 562-422-7433
Mailing address:
  • Phone: 562-422-7433
  • Fax: 562-422-7433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number510775
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: