Provider Demographics
NPI:1508035080
Name:NEWPORT MESA WELLNESS & MURPHY CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:NEWPORT MESA WELLNESS & MURPHY CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-650-4255
Mailing Address - Street 1:20280 SW ACACIA ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-0786
Mailing Address - Country:US
Mailing Address - Phone:949-650-4255
Mailing Address - Fax:949-258-5298
Practice Address - Street 1:20280 SW ACACIA ST
Practice Address - Street 2:SUITE 200
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-0786
Practice Address - Country:US
Practice Address - Phone:949-650-4255
Practice Address - Fax:949-258-5298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25758305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization