Healthcare Provider Details

I. General information

NPI: 1053616482
Provider Name (Legal Business Name): AILEEN ALMUETE MURPHY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2011
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 NORRIS CANYON RD STE 310
SAN RAMON CA
94583-5407
US

IV. Provider business mailing address

2345 COUNTRY HILLS DR
ANTIOCH CA
94509-7319
US

V. Phone/Fax

Practice location:
  • Phone: 925-338-8511
  • Fax: 925-338-8888
Mailing address:
  • Phone: 925-435-4355
  • Fax: 925-978-0991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number20A11175
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: