Healthcare Provider Details

I. General information

NPI: 1013194422
Provider Name (Legal Business Name): BRENDAN MURRAY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 01/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 SANTA MONICA BLVD SUITE 101
SANTA MONICA CA
90404-2429
US

IV. Provider business mailing address

2825 SANTA MONICA BLVD SUITE 101
SANTA MONICA CA
90404-2429
US

V. Phone/Fax

Practice location:
  • Phone: 310-998-5800
  • Fax: 310-998-5811
Mailing address:
  • Phone: 310-998-5800
  • Fax: 310-998-5811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC 19544
License Number StateCA

VIII. Authorized Official

Name: DR. BRENDAN MICHAEL MURRAY
Title or Position: DOCTOR OF CHIROPRACTIC/OWNER
Credential: D.C.
Phone: 310-998-5800