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NPI Code Detail

MEDICARE: ROSE MURPHY RDN, CDCES

MEDICARE: ROSE MURPHY RDN, CDCES
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
1133V00000XRegistered Dietitian01023986MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P20740004OTHERMIMEDICARE PTAN
40P20740OTHERMIMEDICARE GROUP PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101002584OTHERMIHEALTHPLUS PROVIDER ID
20D40062OTHERMIBCBSM PIN

General Provider Information

NPI Number : 1669785754
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSE MURPHY RDN, CDCES
Provider Business Mailing Address
First Line : 20500 BELSHAW AVE
Second Line : DPT# EXCA1377
City : CARSON
State : CA
Zip : 90746-3506
Country : US
Telephone Number : 855-442-5885
Fax Number :
Provider Business Practice Location Address
First Line : 20500 BELSHAW AVE
Second Line : DPT# EXCA1377
City : CARSON
State : CA
Zip : 90746-3506
Country : US
Telephone Number : 855-442-5885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2010
Last Update Date : 01/30/2026

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Directions to “ ROSE MURPHY RDN, CDCES” Practice Location

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