Provider Demographics
NPI:1538470216
Name:MURAD, LINDSAY B (MA)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:B
Last Name:MURAD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 BRISTOL ST STE E203
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-7908
Mailing Address - Country:US
Mailing Address - Phone:714-240-8200
Mailing Address - Fax:714-240-8200
Practice Address - Street 1:2900 BRISTOL ST STE E203
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-7908
Practice Address - Country:US
Practice Address - Phone:714-240-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77398106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist