Healthcare Provider Details

I. General information

NPI: 1720127897
Provider Name (Legal Business Name): PAUL C. MURPHY, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8929 UNIVERSITY CENTER LN SUITE 205
SAN DIEGO CA
92122-1006
US

IV. Provider business mailing address

8929 UNIVERSITY CENTER LN SUITE 205
SAN DIEGO CA
92122-1006
US

V. Phone/Fax

Practice location:
  • Phone: 858-657-0000
  • Fax: 858-657-0003
Mailing address:
  • Phone: 858-657-0000
  • Fax: 858-657-0003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG47005
License Number StateCA

VIII. Authorized Official

Name: PAUL C. MURPHY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 858-657-0000