MEDICARE: PATRICIA MARIE MURRAY M.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
1	207RI0200X	Infectious Disease Physician	G44710	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1447219142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA MARIE MURRAY M.D.

Provider Business Mailing Address
First Line	:	2118 WILSHIRE BLVD #535
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-5704
Country	:	US
Telephone Number	:	310-315-5440
Fax Number	:	310-828-7422

Provider Business Practice Location Address
First Line	:	2021 SANTA MONICA BLVD
Second Line	:	SUITE #530E
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-2208
Country	:	US
Telephone Number	:	310-315-5440
Fax Number	:	310-828-7422

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	04/03/2025

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