Healthcare Provider Details

I. General information

NPI: 1053243808
Provider Name (Legal Business Name): G MURDOCK PHD A PSYCHOLOGICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12630 HESBY ST
VALLEY VILLAGE CA
91607
US

IV. Provider business mailing address

12631 ADDISON ST
VALLEY VILLAGE CA
91607-2926
US

V. Phone/Fax

Practice location:
  • Phone: 323-942-0035
  • Fax:
Mailing address:
  • Phone: 213-618-9583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. GAIL A MURDOCK
Title or Position: DIRECTOR
Credential: PHD
Phone: 213-618-9583