Provider Demographics
NPI:1558803734
Name:MURRAY, KIMBERLY CHERIE (HAD)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:CHERIE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5882 BOLSA AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-5702
Mailing Address - Country:US
Mailing Address - Phone:714-898-5732
Mailing Address - Fax:714-901-4058
Practice Address - Street 1:2999 WESTMINSTER AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-5368
Practice Address - Country:US
Practice Address - Phone:562-431-4314
Practice Address - Fax:562-431-4305
Is Sole Proprietor?:No
Enumeration Date:2016-11-05
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA8125237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist