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NPI Code Detail

MEDICARE: DR. MURRAY TAUBMAN O.D.

MEDICARE:  DR. MURRAY  TAUBMAN  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist6125TCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033294905
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MURRAY TAUBMAN O.D.
Provider Business Mailing Address
First Line : 12568 VALLEY VIEW ST
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92845-2006
Country : US
Telephone Number : 714-894-3353
Fax Number : 714-373-0670
Provider Business Practice Location Address
First Line : 12568 VALLEY VIEW ST
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92845-2006
Country : US
Telephone Number : 714-894-3353
Fax Number : 714-373-0670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 02/03/2012

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