Healthcare Provider Details

I. General information

NPI: 1336302132
Provider Name (Legal Business Name): DEAN F. MURPHY, MD., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16960 BASTANCHURY RD STE I
YORBA LINDA CA
92886-1711
US

IV. Provider business mailing address

16960 BASTANCHURY RD STE I
YORBA LINDA CA
92886-1711
US

V. Phone/Fax

Practice location:
  • Phone: 714-524-9700
  • Fax: 714-524-9874
Mailing address:
  • Phone: 714-524-9700
  • Fax: 714-524-9874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberA25391
License Number StateCA

VIII. Authorized Official

Name: DR. DEAN F. MURPHY
Title or Position: PRESIDENT
Credential: MD
Phone: 714-524-9700