Basic Information
Provider Information
NPI: 1205102035
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: SUNBERRI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 60790
Address2:  
City: PASADENA
State: CA
PostalCode: 911166790
CountryCode: US
TelephoneNumber: 6267956596
FaxNumber:  
Practice Location
Address1: 4101 TORRANCE BLVD
Address2:  
City: TORRANCE
State: CA
PostalCode: 905034607
CountryCode: US
TelephoneNumber: 3105407676
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/27/2012
LastUpdateDate: 12/03/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X20A15463CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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