Healthcare Provider Details

I. General information

NPI: 1275329625
Provider Name (Legal Business Name): LEONARD CHRISTOPHER MURPHY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34800 BOB WILSON DR
SAN DIEGO CA
92134-1098
US

IV. Provider business mailing address

10 HIGH RIDGE DR
MATTAPOISETT MA
02739-1661
US

V. Phone/Fax

Practice location:
  • Phone: 619-532-6400
  • Fax:
Mailing address:
  • Phone: 508-542-2713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101290931
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: