Healthcare Provider Details

I. General information

NPI: 1770916405
Provider Name (Legal Business Name): PAULA DENISE MURO M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2013
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12520 CAMINO DEL SUR APT 204
SAN DIEGO CA
92129-4586
US

IV. Provider business mailing address

12520 CAMINO DEL SUR APT 204
SAN DIEGO CA
92129-4586
US

V. Phone/Fax

Practice location:
  • Phone: 424-253-6771
  • Fax:
Mailing address:
  • Phone: 909-702-1661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC7807
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: