Provider Demographics
NPI:1770657454
Name:MURCHIE, MARIA ANDREA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ANDREA
Last Name:MURCHIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ANDREA
Other - Last Name:MASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:18102 CULVER DR.
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612
Mailing Address - Country:US
Mailing Address - Phone:714-577-2165
Mailing Address - Fax:949-407-5278
Practice Address - Street 1:18102 CULVER DR.
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612
Practice Address - Country:US
Practice Address - Phone:714-577-2165
Practice Address - Fax:949-407-5278
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74015207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H67377Medicare UPIN